B  9  6  0 
A/198  I 


Presented  by 
Dr.  Robert  C.  Ruenitz 


COLLEGE    OF    OSTEOPATHIC    PHYSICIANS 
AND  SURGEONS  •    LOS  ANGELES,  CALIFORNIA 


,  E6F  r 

THELPRACTICE  OF    " 

SOMAPATHY1 


ITS  PRACTICAL  APPLICATION 

TO  THE  VARIOUS  DISEASES  OF 
THE  HUMAN  BODY 


BY 

Chas.  H.  Murray,  A.  B.,  D.  O. 

Author  of  Praciice  of  Osteopathy,  Osleopathic  Gynecology, 
Genuine  Osteopathy,  The  Osteopathic  Truth,  The  Successful 
Promotion  of  Osteopathy,  and  Grave  Danger  in  Osteopathic 
Treatment  as  Often  Given. 


ELGIN,   ILLINOIS 

1913 


U)  6 


V 

-'00     I  I 

'ai3V         I 


Copyright  1913 
By   Charles   H.    Murray 


PREFACE 

When  a  person  does  a  good  thing  he  does  not 
need  to  apologize  for  doing  it,  so  the  author  offers 
no  apology  for  adding  to  the  long  list  of  books  de- 
voted to  therapeutics.  There  has  been  no  crying 
need  for  this  book,  nor  is  it  published  to  fill  a  long- 
felt  want,  but  as  it  becomes  better  known  it  will  be 
acknowledged  that  the  science  it  promulgates  is 
a  boon  to  suffering  humanity.  Somapathy  is  des- 
tined very  largely  to  replace  all  other  forms  of  ma- 
nipulative procedure  on  account  of  its  simplicity  and 
effectiveness  in  alleviating  human  ills.  Its  claims 
will  be  quickly  recognized  by  all  progressive  thera- 
pists. 

For  a  number  of  years,  when  the  regular  osteo- 
pathic  treatment  failed  to  give  relief,  I  have  success- 
fully applied  the  Somapathic  treatment.  This  was 
so  easily  given  and  so  generally  satisfactory  that  it 
has  gradually  taken  the  place  of  the  osteopathic 
treatments  in  caring  for  the  severe  cases  encoun- 
tered in  my  practice.  It  has  proven  especially  effect- 
ive in  many  chronic  diseases  where  other  forms  of 

5 


G  Preface 

treatment  failed  to  give  relief.  For  some  kinds  of 
pain  often  met  with  in  acute  cases,  it  affords  quicker 
relief  than  the  strongest  sedative  drugs. 

This  treatment  will  be  found  to  be  very  well 
adapted  to  chronic  cases  where  all  other  forms  of 
treatment  fail  to  make  much  of  an  impression  in 
restoring  to  health.  In  ordinary  practice  it  will  be 
found  to  yield  such  quick  results  that  both  prac- 
titioner and  patient  will  be  delighted.  Somapathy 
is  much  simpler  than  any  other  kind  of  manipula- 
tive treatment,  and  as  you  apply  it  you  may  confi- 
dently expect  the  very  best  of  results. 

Elgin,  111.,  August,  1913.  Chas.  H.  Murray. 


SOMAPATHY 


DEFINITION 

Somapathy  is  from  the  Greek ;  soma  meaning 
body,  and  pathos  meaning  suffering,  the  whole  word 
meaning,  literally,  body  suffering.  This  is  to  be 
distinguished  from  osteopathy,  meaning  bone  suf- 
fering; allopathy,  meaning  other  suffering;  or  ho- 
meopathy, meaning  like  suffering.  A  doctor  of  oste- 
opathy is  a  doctor  of  bone  suffering,  while  a  doctor 
of  Somapathy  is  a  doctor  of  body  suffering. 

Somapathy  owes  a  great  deal  to  osteopathy  and 
gives  to  her  full  credit  for  teaching  the  value  of 
spinal  inhibition  and  spinal  stimulation,  but  Somap- 
athy offers  a  better  method  and  technique  in  obtain- 
ing these  two  important  therapeutic  factors,  and  by 
these  methods  secures  them  for  a  greater  length  of 
time.  The  technique  is  so  simple  that  it  can  easily 
be  applied  by  those  who  simply  follow  plain  direc- 
tions. 

7 


The   Practice   of  Somapathy 

PRINCIPLES 

The  object  to  be  attained  in  treating  human  ills 
according  to  this  science  are  as  follows :  (1)  To  re- 
move all  muscular  contractions,  (2)  to  stimulate 
spinal  and  other  nerve  centers,  (3)  to  inhibit  spinal 
and  other  nerve  centers,  (4)  to  relieve  anemia  and 
hyperemia  of  the  spinal  cord.  This  conclusion  has 
been  formed  after  giving  over  thirty  thousand  treat- 
ments and  carefully  noting  their  effects  on  hundreds 
of  patients. 

The  treatment  may  be  given,  securing  the  best  of 
results,  without  any  of  the  dangers  accompanying 
most  manipulative  methods  of  procedure.  Leading 
osteopaths  no  longer  claim  that  misplaced  verte- 
brae are  a  cause  of  disease,  but  very  many  in  that 
profession  still  cling  to  the  old  idea  of  "  bone  out  of 
position,"  and  much  harm  often  follows  their  crude 
attempts  at  adjustment. 

But  osteopathy,  when  practiced  in  an  up-to-date 
manner,  by  careful  operators  of  sound  judgment, 
has  been  a  wonderful  factor  in  giving  relief  to  suf- 
fering humanity.  The  practitioners  of  this  school 
have  been  pioneers  in  the  discovery  of  excellent 
methods  and  have  given  to  the  world  much  of  value 
in  the  therapeutic  field. 

In  the  practice  of  osteopapthy,  when  we  wish  to 
relieve  pain  or  quiet  an  organ  which  is  doing  an 


Principles  9 

excessive  amount  of  overwork,  we  inhibit  certain 
nerve  centers,  usually  in  the  spine.  This  is  most 
often  accomplished  by  some  form  of  treatment,  gen- 
erally pressure,  applied  as  near  as  possible  to  the 
nerve  center,  in  the  spine,  of  the  organ  in  question. 
In  case  we  desire  to  lessen  the  number  of  nerve 
impulses  passing  from  any  section  of  the  cord  to 
any  given  organs,  we  hold  the  spine  with  a  strong 
grip,  partially  lifting  the  body,  as  in  figure  1.  Or 
we  may  place  a  book  under  the  spine,  requesting  the 
patient  to  rest  heavily  upon  it,  as  in  figure  2.  We 
will  say,  in  passing,  that  both  of  these  treatments 
are  for  the  same  purpose  as  applied  at  this 
point  of  the  spine,  and  are  for  the  purpose  of  quiet- 
ing the  peristalic  action  of  the  bowels  in  cases 
of  excessive  diarrhea.  When  we  wish  to  quiet 
the  action  of  the  heart  we  apply  steady  pressure 
at  the  third  and  fourth  dorsal  vertebrae,  as  in  fig- 
ure 3. 

When  we  wish  to  stimulate  nerve  centers  and 
thus  increase  the  action  of  certain  organs  or  func- 
tions we  deliver  a  series  of  thrusts  over  the  spine, 
as  in  figure  13. 


While  we  believe  that  the  osteopathic  treatment, 
when  properly  applied,  is  a  good  treatment  in  many 


10  The   Practice   of  Somapathy 

ailments,  it  has  certain  limitations  and  disadvan- 
tages. One  difficulty  is  that  when  we  wish  to  in- 
hibit we  often  stimulate,  as  we  fail  to  gauge  the 
proper  amount  of  pressure  to  use.  If  we  are  suc- 
cessful in  accomplishing  what  we  wish  the  effect 
may  last  but  a  short  time.  And  then,  sometimes, 
a  reaction  sets  up  which  is  the  very  opposite  of  what 
we  secured  for  a  time.  Very  often  we  need  the 
effect  to  last  much  longer  than  it  does  in  order  to 
produce  the  desired  effect  in  treating  some  organs 
or  functions. 

ANOTHER  CAUSE  OF  DISEASE 

Many  diseases  or  adverse  conditions  are  due 
either  to  an  anemia  or  hyperemia  of  the  spinal  cord. 
In  anemia  of  the  spinal  cord  the  cord  fails  to  re- 
ceive its  proper  amount  of  nourishment  and  there 
fore  nerve  impulses  sent  out  from  that  portion  of 
the  spinal  cord  are  abnormal.  Consequently  the 
functions  of  all  organs  which  receive  their  nerve 
supply  from  this  section  of  the  spinal  cord  will  be 
impaired.  In  hyperemia  of  the  spinal  cord  a  con- 
dition of  venous  stagnation  often  exists,  which  acts 
as  a  poison  and  impairs  the  nerve  impulses  both  in 
a  mechanical  and  a  chemical  manner. 

To  correct  this  abnormal  circulation  of  the  cord 
and  to  apply  stimulation  or  inhibition  to  it  is  the 


Principles  1 1 

purpose  of  the  directions  set  forth  in  the  following 
pages.  We  may  thus  quickly  and  permanently  gain 
an  improvement  in  many  acute  diseases,  and  just 
as  surely,  but  more  slowly,  gain  the  mastery  over 
many  chronic  ailments. 

THE  LOCATION  OF  NERVE  CENTERS 

It  will  be  well  to  locate  the  various  nerve  cen- 
ters in  the  spinal  cord  from  which  nerves  arise 
which  control  certain  organs  and  functions.  We 
should  be  well  acquainted  with  their  location,  so 
that  specific  treatments  may  be  applied.  Where 
specific  treatment  is  indicated  the  case  will  respond 
more  quickly  when  the  treatment  is  applied  there 
and  at  no  other  point.  Those  who  treat  the  human 
body  in  combating  diseased  conditions,  especially 
when  such  treatment  is  given  by  manipulation, 
know  the  location  of  these  centers  and  use  them 
very  effectively  in  eradicating  the  various  diseases. 

As  these  centers  are  spoken  of  and  take  their 
names  from  the  vertebrae  of  the  spine  they  are  near- 
est, it  is  best  to  know  the  location  of  the  different 
vertebrae.  The  spine  is  formed  of  thirty-three  verte- 
brae. Seven  of  these  are  in  the  cervical  or  neck  re- 
gion ;  twelve  are  in  the  dorsal  region,  which  occupy 
the  space  from  the  lower  part  of  the  neck  to  where 
the  small  of  the  back  begins.  Five  are  in  the  small 


12  The   Practice   of  Somapathy 

of  the  back,  or  lumbar  region,  while  five  are  in  the 
sacral  region,  the  flat  bone  near  the  end  of  the  spine. 
The  last  four  are  in  the  coccygeal,  which  is  the 
coccyx.  These  last  nine  vertebrae  unite  in  the  adult 
and  form  two  bones.  The  coccyx  occupies  the  very 
end  of  the  spine  and  has  no  definite  nerve  centers, 
as  the  cord  does  not  extend  below  the  second  lum- 
bar vertebra.  However,  we  treat  over  the  lower 
lumbar  region  and  the  sacrum  on  account  of  the 
tail  of  the  spinal  cord,  called  cauda  equina,  being 
located  there.  So,  beginning  at  the  base  of  the 
skull,  we  have  the  cervical,  dorsal,  lumbar,  sacral 
and  coccygeal  regions  of  the  spine. 

THE  VERTEBRJE  LOCATED 

To  locate  these  vertebrae  readily  we  remember 
that  the  first  vertebra,  of  which  we  can  feel  the 
spinous  process,  is  the  second  cervical  vertebra, 
sometimes  called  the  axis.  The  seventh  cervical 
vertebra  is  called  the  vertebra  prominens,  on  ac- 
count of  its  spinous  process  protruding  so  promi- 
nently, as  it  does,  at  the  base  of  the  neck.  The 
third  dorsal  vertebra  is  on  a  level  with  the  inner  an- 
gle of  the  scapula.  The  seventh  dorsal  vertebra  is 
on  a  level  with  the  lower  angle  of  the  scapula.  The 
twelfth  dorsal  vertebra  is  on  a  level  with  the  twelfth 
rib.  The  fourth  lumbar  vertebra  is  on  a  level  with 


Principles  13 

the  high  part  of  the  crest  of  the  ilium.  These  above 
points  may  be  taken  or  used  as  landmarks  and  the 
positions  of  the  other  vertebrae  may  be  determined 
by  counting  the  intervening  spinous  processes  from 
above  downward. 

WHERE  TO  TREAT  SPECIFICALLY 

The  spinal  centers,  which  affect  certain  parts  of 
the  body  and  their  functions,  as  named  by  the  dif- 
ferent vertebras,  follow : 

Adrenal  Bodies. — Ninth  dorsal. 

Anus. — Sacrum. 

Arms. — First  cervical  to  the  second  dorsal. 

Bladder. — Sacrum. 

Bowels. — Ninth  to  the  eleventh  dorsal. 

Ears. — First  to  the  fourth  cervical. 

Eyes. — Second  cervical  to  third  dorsal. 

Fevers. — Suboccipital  fossae  to  the  fourth  cervi- 
cal. 

Gall  Bladder.— Ninth  dorsal. 

Genitals. — Second  lumbar  to  the  end  of  spine. 

Heart. — First   cervical   to  fifth   dorsal. 

Intestines. — Fourth  dorsal  to  the  second  lumbar. 

Kidneys. — Ninth  to  the  twelfth  dorsal. 

Larynx. — First  to  the  third  cervical. 

Legs. — Eleventh  dorsal  to  the  second  lumbar. 

Liver. — Seventh  to  the  tenth  dorsal. 


14  The   Practice   of   Somapathy 

Lungs. — First  cervical  to  the  eighth  dorsal. 
Micturition  (Urinating). — Second  lumbar. 
Ovaries. — Ninth  dorsal  to  second  lumbar. 
Pancreas. — Eighth  dorsal. 
Rectum. — Lower  lumbar  region. 
Spleen. — Eighth  to  the  twelfth  dorsal. 
Stomach. — Fourth  to  the  tenth  dorsal. 
Throat. — Second  cervical  to  the  third  dorsal. 
Tonsils. — First  to  the  fifth  cervical. 
Testicles. — Eleventh  dorsal,  also  the  third  lumbar. 
Uterus. — Second  lumbar  to  the  end  of  the  spine. 

TECHNIQUE 

This  part,  as  set  forth  in  this  book,  will  consist 
of  massage  as  a  preparatory  treatment,  for  the  pur- 
pose of  loosening  muscles  as  an  osteopath  or  mas- 
seur does.  These  massage  treatments  will  first  be 
illustrated  by  original  photographs  and  followed  by 
a  few  pages  of  explanations  of  the  massage.  After- 
wards will  be  placed  the  technique  of  the  use  of 
heat  and  cold  as  it  is  employed  in  Somapathy. 

Massage  has  been  employed  for  thousands  of 
years  in  alleviating  human  ills.  In  all  ages,  among 
all  peoples,  its  beneficial  effects  have  been  known. 
It  stimulates  the  nerves,  promotes  circulation  and 
assists  elimination.  Massage  makes  an  excellent 
preparatory  treatment  and  the  application  of  the 


Technique  15 

heat  and  cold  continues  the  curative  effects  started 
by  the  massage.  When  the  treatment  is  given  as 
directed  it  will  be  found  much  more  effective  than 
any  manual  treatment  known. 


Figure  4 


Figure  5 


Figure  6 


Figure  7 


Figure  8 


Figure  9 


o 

i—H 

OJ 


buo 


Figure  13 


p 

be 


CO 
t— I 

<u 


CM 
CM 


Figure  23 


Figure  24 


Figure  25 


Technique  41 

EXPLANATIONS  OF  ILLUSTRATIONS 

No.  1.  Pulling  steadily  on  the  spine  for  the  pur- 
pose of  inhibiting  the  nerve  centers  at  this  point. 

No.  2.  Steady  pressure  on  the  spine  for  the  pur- 
pose of  inhibiting  the  nerve  centers  at  this  point. 

No.  3.  Pressure  here  on  the  spine  is  for  the  pur- 
pose of  inhibiting  nerve  centers,  and  through  them 
of  quieting  the  heart. 

No.  4.  The  massage  here  is  for  the  purpose  of 
loosening  the  muscles  at  the  back  of  the  neck.  Do 
not  let  the  hand  slip  on  the  skin,  but  describe  a 
half  circular  motion  with  the  right  hand,  stretching 
the  muscles  at  the  side  and  back  of  the  neck.  The 
hand  on  the  neck  is  also  moved  from  place  to  place 
as  you  feel  the  muscles  relax  beneath  it.  In  this 
manner  you  may  relax  the  tissues  well  down  on  to 
the  shoulder.  The  hand  on  the  forehead  rotates 
the  head  from  side  to  side,  alternately  relaxing  and 
stretching  the  muscles  at  the  side  and  back  of  the 
neck,  while  the  hand  placed  at  the  side  of  the  neck 
stretches  the  muscles  toward  the  operator  with  each 
movement  of  the  neck. 

No.  5.  A  circular  or  semi-circular  movement  of 
the  hands  is  made  here,  not  letting  the  hands  slip 


42  The   Practice   of   Somapathy 

on  the  skin  of  the  patient.  The  purpose  is  to  loosen 
the  muscles,  which  in  many  cases  will  be  found  both 
tense  and  tender. 

No.  6.  Massaging  the  tissues  of  the  neck,  not  al- 
lowing your  hand  to  slip  on  the  skin.  For  the  pur- 
pose of  loosening  muscles  and  promoting  the  cir- 
culation. 

No.  7.  Here  the  movement  of  the  hand  is  semi- 
circular and  deep,  relaxing  tissues  but  not  slipping 
on  the  skin. 

No.  8.  Performed  in  the  same  manner  as  in  No. 
7,  but  more  gently. 

No.  9.  The  fingers  here  may  be  used  to  relax 
the  tissues  on  top  of  the  shoulders,  and  the  thumbs 
those  along  the  back  at  either  side  of  the  spine. 
You  may  thoroughly  massage  here,  but  do  not  al- 
low the  fingers  to  slip  on  the  skin. 

No.  10.  With  the  palms  of  the  fingers  the  oper- 
ator with  a  semi-circular  motion  pulls  contracted 
muscles  away  from  the  spine.  These  muscles  often 
feel  like  small  ropes  beneath  the  fingers.  As  they 
relax  this  feeling  disappears.  Do  not  allow  your 
fingers  to  slip  on  the  skin. 

No.  11.  Here  the  operator,  in  massaging  the  mus- 


Technique  43 

cles  of  the  back,  uses  a  semi-circular  pressing  mo- 
tion with  the  palms  to  relax  the  muscles.  One  hand 
reinforces  the  other.  He  must  not  allow  his  hands  to 
slip  on  the  skin.  This  movement  is  often  used  in 
connection  with  No.  10. 

No.  12.  Here  the  operator  uses  his  thumbs  for 
the  purpose  of  further  relaxing  muscles.  The  op- 
erator may  use  considerable  pressure  as  he  pushes 
his  thumbs  along  the  sides  of  the  spine,  but  never 
allows  his  thumbs  to  slip  on  the  skin.  He  can  move 
them  from  a  half  inch  to  an  inch  with  each  thrust 
in  this  manner,  and  in  connection  with  other  move- 
ments of  massage  further  relaxes  tightened  muscles. 

No.  13.  See  description  of  No.  11.  In  addition  to 
the  work  described  there  the  hands  are  in  such  a 
position  they  can  give  a  downward  thrust  which 
may  be  made  over  the  spine.  This  stimulates  the 
nerve  centers  in  the  cord  at  that  point. 

No.  14.  With  one  elbow  on  the  shoulder  and 
the  other  on  the  hip,  pressure  may  be  made  with 
the  elbows  to  stretch  the  shoulder  from  the  hip  and 
thus  stretch  the  muscles  of  the  back  as  the  hands 
are  free  to  massage  the  muscles.  Describe  a  semi- 
circular motion  and  do  not  allow  the  hands  to  slip 
on  the  skin  of  the  patient. 


4-J  The   Practice   of   Somapathy 

No.  15.  Sometimes  tissues  may  be  loosened  in  the 
neck  by  making  pressure  on  them.  A  good  treat- 
ment for  headache. 

No.  1C.  With  the  patient  lying  on  one  side,  the 
operator,  with  one  hand  in  front  of  the  hip  and  the 
other  hand  behind  the  patient's  shoulder,  twists 
the  spine.  This  is  done  by  pushing  against  the  hip 
and  pulling  on  the  shoulder.  This  movement  as- 
sists in  loosening  tightened  muscles  of  the  back. 

No.  17.  Massaging  over  the  abdomen.  Do  not 
allow  the  hand  to  slip  over  the  skin  or  flesh  of  the 
patient.  When  you  massage  quite  deeply  you  call 
the  blood  to  the  abdominal  region. 

No.  18.  One  hand  enforcing  the  other  in  massag- 
ing the  abdomen. 

No.  19.  Using  pressure  over  the  region  of  the 
solar  plexus  for  the  purpose  of  stimulating  it.  Deep, 
steady  pressure  with  a  slightly  circular  motion,  di- 
rected upward  and  backward,  is  applied  here.  Be- 
gin the  pressure  about  an  inch  and  a  half  below 
the  sternum,  and  when  you  finish  the  hand  is  very 
near  the  sternum.  Do  not  allow  the  hand  to  slip 
over  the  patient  but  carry  the  tissues  with  the  hand. 


Technique  45 

No.  20.  Lifting  up  the  abdominal  contents.  Be- 
gin just  above  the  pubic  bone,  or  arch. 

No.  21.  Massaging  deeply  at  the  base  of  skull. 

No.  22.  Exerting  heavy,  steady  pressure  over  the 
skull.  Press  for  a  minute,  then  relax.  Repeat  sev- 
eral times.  With  some  patients  this  relieves  head- 
ache ;  with  others  it  causes  more  pain. 

No.  23.  Massage  along  the  midline  of  the  skull 
from  the  base  of  the  nose  back  as  far  as  you  can 
while  the  patient  is  in  this  position.  The  thumbs 
are  used  in  a  circular  pressing  motion  with  varying 
degrees  of  pressure. 

No.  24.  Tapping  over  the  eyeball.  The  palm  of 
one  finger  is  placed  over  the  eye  and  tapped  or  per- 
cussed by  the  forefinger  of  the  other  hand.  This 
stimulates  the  circulation  of  the  eye. 

No.  25.  In  giving  this  form  of  massage  you  let 
the  whole  hand  slip  on  the  skin  from  the  center 
of  the  forehead  down  to  the  ears.  This  treatment 
may  be  repeated  a  number  of  times  with  varying 
pressure. 

No.  26.  These  ice  and  hot  water  bags  are  full 
length  spinal  bags.  The  longer  ones  are  twenty 
inches  long.  The  short  ice  bag  is  ten  inches  in 


46  The  Practice  of  Somapathy 

length.  See  advertisement  in  back  of  this  book. 
They  are  such  bags  as  the  author  of  this  book  uses 
in  his  practice. 


Pure  Rubber  Ice  Bag1 


Spinal  Water  Bottle 
The  Spinal  Ice  Bag 
is  the  same  size  as 
the  above  bottle  but 
is  fitted  with  a  screw 
cap  and  a  larger  open- 
ing to  accommodate 
the  ice. 


Ice  Cap 

The  Spinal  Ice  Bag  is  fitted  with  a 
screw   cap   similar  to   this   cap. 


Technique  47 


TECHNIQUE  IN   THE   USE   OF   COLD 

The  best  and  simplest  method  which  I  have  ever 
used  to  reduce  hyperemia  or  to  inhibit  nerve  im- 
pulses of  any  nerve  center  of  the  spinal  cord  is  to 
use  the  ice  bag  on  the  spinal  column.  That  the 
work  may  be  effectively  performed,  with  the  best 
results  and  without  danger  to  the  patient,  the  tech- 
nique is  indicated  as  follows: 

The  ice  should  be  well  crushed,  the  ice  bag  filled, 
and  after  being  placed  on  the  patient  allowed  to  re- 
main until  the  ice  melts.  Then  the  ice  may  be  re- 
newed. Be  certain  that  all  the  air  is  expelled  from 
the  bag  before  placing  it  on  the  patient;  again  ex- 
pel as  much  air  as  possible  from  the  bag  fifteen  min- 
utes later.  In  ordinary  cases  the  ice  bag  may  be 
used  for  an  hour  at  a  time  three  times  daily. 

The  spinal  ice  bags  are  from  ten  to  twenty  inches 
in  length.  The  longer  bag  is  for  use  on  the  entire 
spine  and  the  shorter  one  for  use  on  definite  spinal 
centers.  A  number  of  these  shorter  ice  bags  should 
be  kept  on  hand,  for  oftentimes  we  wish  to  work 
on  only  one  spinal  center,  which  we  may  do  by 
having  ice  in  only  one  end  of  the  bag. 

In  some  cases  I  have  secured  very  good  results 
where  cold  was  indicated,  by  using  cold  water  in- 


48  The   Practice   of   Somapathy 

stead  of  ice.  In  some  places,  at  certain  seasons  of 
the  year,  ice  is  difficult  to  obtain.  Cold  well  or 
spring  water  may  then  be  used.  If  it  be  winter  let 
the  water  stand  outside  in  the  cold,  or  by  letting 
the  water  run  for  awhile  in  a  water  system  it  may 
be  obtained  quite  cool.  By  changing  the  water 
often  enough  very  good  results  may  be  obtained. 

In  some  cases  it  may  be  better  to  use  the  cold 
water.  So  many  persons  are  afraid  of  having  ice 
used  on  them  at  first,  it  is  difficult  to  secure  their 
consent  for  so  doing ;  but  after  they  learn  for  them- 
selves its  good  effects  and  know  that  its  use  is  ac- 
companied by  no  discomfort  they  gladly  have  the 
cold  applied.  One  lady,  who  desired  relief  from  se- 
vere cramping  of  the  muscles  of  the  legs,  said  she 
never  had  cold  used  on  her  before,  and  I  doubt  if  she 
would  have  followed  directions  unless  I  had  applied 
the  cold  myself.  Of  course  I  could  have  gotten 
results  by  inhibiting  the  lumbar  region  of  the  spine, 
but  that  would  have  taken  some  time.  It  would 
have  been  hard  work  and  a  little  uncertain,  and 
other  troubles  might  have  arisen  later  from  the 
treatment,  as  she  was  elderly.  But  as  it  proved, 
the  relief  from  the  use  of  the  cold  was  almost  in- 
stantaneous. On  another  case  I  worked  for  two 
years  before  I  could  persuade  an  old  lady  to  apply 
an  ice  bag.  She  was  very  weak  and  complained  of 


Technique  49 

a  chilly  sensation  nearly  all  the  time.  Her  apart- 
ments were  kept  at  from  80  to  85  degrees  F.  nearly 
all  the  time,  and  she  could  not  understand  how  ice 
applied  to  the  spine  could  benefit  her  condition. 
She  took  no  end  of  drugs  and  then  tried  osteopathic 
treatment  with  very  little  results.  But  when  she 
brought  herself  to  try  the  cold  spinal  applications 
she  was  cured. 

THE  USE  OF  HEAT 

When  there  is  a  condition  of  anemia  of  the  spinal 
cord,  or  we  wish  for  any  reason  to  stimulate  the 
nerve  impulses  from  any  nerve  center  in  the  cord, 
we  use  the  hot  water  bag  on  the  spine. 

In  using  hot  water,  the  hot  water  bag  is  left  on 
the  patient  until  the  water  nearly  cools  before  it  is 
renewed.  In  treating  a  case  of  asthma,  where  the 
paroxysms  came  on  in  the  night,  the  patient  was 
advised  to  use.  the  hot  water  bag.  It  was  incon- 
venient to  do  so,  and  she  took  a  bag  of  hot  salt  to 
bed  with  her  and  the  results  were  of  the  very  best. 
And  so  where  heat  is  indicated  I  now,  in  addi- 
tion to  the  use  of  the  hot  water  bag,  advise  the  use 
of  a  hot  salt  or  sand  bag,  or  the  use  of  a  stone  or 
flatiron  wrapped  in  a  cloth.  Anything  may  be  used 
which  retains  the  heat  and  which  can  be  applied  to 
the  spine. 


DIRECTIONS  FOR  TREATMENT 

ACCORDING  TO  SOMAPATHY 
Alphabetically  Arranged 


ADDISON'S  DISEASE 

When  you  are  certain  that  this  disease  is  present, 
employ  the  cold  treatments  morning  and  evening 
and  the  warm  treatment  about  midday.  Do  not 
diagnose  every  case  where  the  skin  is  pigmented  as 
one  that  has  this  disease.  Prostration  is  present 
before  all  other  symptoms  and  becomes  more 
marked  as  the  case  progresses.  Remember  that 
in  cancer,  tuberculosis,  liver  trouble,  pregnancy,  ex- 
ophthalmic goiter,  and  in  some  brunettes  a  bronzed 
condition  may  be  present  and  often  is.  Employ  a 
light,  nutritious  diet.  Some  prefer  a  strict  milk- 
diet.  A  general  massage  treatment  given  ever)' 
other  day  is  recommended  and  will  be  helpful.  See 
the  third  edition  of  "  Practice  of  Osteopathy,"  by 
Murray.  Before  employing  the  warm  treatment 
massage  the  back,  as  seen  in  figures  9,  10,  11,  12. 

50 


Directions  for  Treatment  51 

AESTVO  AUTUMNAL  FEVER 
Bilious  Remittent  and  Typho-Malarial 

This  fever  is  to  be  distinguished  from  malarial 
fever  because  the  paroxysms  of  fever  last,  on  the 
average,  more  than  twenty  hours,  whereas  in  mala- 
rial fever  they  do  not  last  more  than  ten  or  twelve 
hours.  It  is  to  be  distinguished  from  typhoid  fever 
by  the  sudden  rise  and  fall  of  temperature  at  vary- 
ing intervals. 

When  the  paroxysms  of  fever  are  present  the  hot 
water  bag  should  be  used  on  the  upper  lumbar  re- 
gion and  the  lower  dorsal.  Any  tendency  to  a  pro- 
longed attack  of  vomiting  should  be  met  with  cold 
applied  to  the  dorsal  region,  from  the  fourth  to  the 
eighth  vertebra.  If  nature  wishes  to  throw  off 
bilious  matter  from  the  stomach  an  occasional  spell 
of  vomiting  will  do  good.  Should  a  chill  be  present 
or  imminent  the  ice  bag  should  be  placed  on  the 
entire  spine. 


AGITANS    PARALYSIS 
Shaking  Palsy:  Parkinson's   Disease 

If  this  disease  were  recognized  when  it  was  tak- 
ing hold  of  a  person  it  could  be  aborted.  The  first 
appearance  is  in  a  slight  muscular  tremor,  most 


52  The  Practice  of  Somapathy 

often  of  the  forearm.  The  thumb  and  forefinger  are 
approximated  and  are  referred  to  as  "  the  act  of 
making  a  pill." 

Cold  should  be  applied  to  the  upper  dorsal  and 
cervical  regions  three  times  per  day.  On  alternate 
days  it  will  be  best  to  apply  heat  to  the  whole  spine 
at  the  second  treatment.  Twice  each  week  apply 
cold  to  the  entire  spine.  Massage  all  muscles, 
which  are  contracted  each  day.  A  long  course  of 
treatment  will  be  necessary.  The  patient  should 
take  exercise,  but  should  stop  before  becoming 
tired.  You  may  massage  all  muscles  of  the  back 
and  neck,  as  indicated  by  figures  4,  5,  9,  10,  11,  12, 
13,  14. 


AFTER-PAINS 

These  are  caused  by  the  uterus  attempting  to 
expel  blood  clots  immediately  after  the  birth  of  a 
child,  due  to  the  failure  of  the  uterus  properly  10 
contract.  This  contraction  may  be  hastened  by 
massaging  in  the  dorsal  and  sacral  regions  of  the 
back  with  considerable  force.  See  figures  10  to  14. 
Massage  directly  over  the  uterus,  quite  deeply,  as 
in  figures  17  and  18.  If  this  work  is  performed 
early  the  after-pains  may  be  avoided 


Directions  for  Treatment  53 

AGUE 
Malarial  Fever — Chills  and  Fever 

When  the  chill  is  about  to  begin  use  cold  on  the 
entire  spine  and  heat  over  the  solar  plexus.  At 
other  times  alternate  in  the  use  of  heat  and  cold 
at  the  same  treatment,  using  the  cold  first  and  the 
heat  last  on  the  whole  spine.  When  the  cold  is 
used  on  the  spine  place  a  hot  water  bag  over  the 
solar  plexus.  Twenty  minutes  for  the  use  of  each 
will  be  sufficient.  For  this  disease  treat  twice  each 
day. 

To  prevent  this  disease  you  must  protect  your- 
self from  mosquitoes.  Have  your  house  well 
screened.  Have  all  marshes,  ponds  and  stagnant 
water  drained.  In  the  malarial  season  petroleum 
should  be  freely  used.  This  kills  the  larvae  of  the 
mosquito  which,  by  its  bite,  often  transmits  to  man 
the  specific  microorganism  which  causes  the  dis- 
ease. 

ALBUMINARIA 

The  hot  water  bag  should  be  used  on  the  lower 
dorsal  and  upper  lumbar  portion  of  the  spine  about 
thirty  minutes  each  day.  Deep  massage  of  the 
abdomen  is  indicated  each  day.  For  the  diet  see 
Bright's  Disease.  The  patient  should  rest  a  great 
deal. 


54  The  Practice  of  Somapathy 

ALCOHOLISM 
Also  Drug  Habits 

Use  cold  on  the  spine  for  an  hour  in  the  morning. 
At  night  use  heat  for  fifteen  minutes  and  cold  for 
forty-five  minutes.  Allow  all  nourishment  possible. 
Beef  tea,  also  malted  milk  with  red  pepper,  may  be 
used  to  advantage  when  the  desire  for  strong  drink 
is  excessive.  The  doctor  must  use  considerable 
firmness  and  tact  in  dealing  with  these  cases. 

In  treating  the  drug  habit  the  same  treatment  as 
for  alcoholism  is  given.  Morphine  is  gradually 
withdrawn.  Coffee  may  be  used  as  a  stimulant. 
The  cocaine  habit  is  the  most  difficult  to  overcome 
and  is  best  treated  in  an  institution. 


AMBLOPIA 
Failing  of  Vision 

When  this  trouble  is  due  to  poisoning  from  the 
use  of  alcohol,  tobacco,  quinine,  or  bisulphide  of 
carbon,  as  it  occurs  where  workmen  are  exposed  to 
fumes  in  rubber  factories,  all  such  exposure  to  poi- 
son must  be  stopped.  We  would  then  expect  a 
very  speedy  recovery  by  the  use  of  cold  in  the  neck 
in  the  region  of  the  superior  cervical  ganglion.  The 


Directions  for  Treatment  55 

use  of  cold  water  instead  of  ice  is  recommended 
here.  Use  the  cold  at  first  three  times  per  day  for 
an  hour.  Later,  one  hour  per  day  will  be  sufficient. 
Loosen  the  muscles  in  the  back  of  the  neck  by  mas- 
sage, as  indicated  in  figures  4  and  5. 


AMENORRHEA 

When  this  lack  of  menstrual  function  is  caused  by 
overstudy  or  overwork  of  any  kind  the  leading  of 
a  more  normal  life  is  required.  When  the  menstrual 
function  is  suddenly  stopped  on  account  of  cold  or 
getting  the  feet  wet,  or  by  fright,  we  find  the  mus- 
cles very  tense  and  tender  in  the  lumbar  and  sacral 
regions  of  the  spine.  These  muscles  should  be  thor- 
oughly relaxed  by  massage.  This  may  be  per- 
formed by  using  a  circular,  pressing  motion  with 
the  hands,  as  indicated  in  figure  13 ;  also  by  using  a 
relaxing  movement  of  the  thumbs,  as  seen  in  figure 
12.  When  poor  health  is  the  cause  of  this  trouble, 
build  up  the  health  by  proper  diet,  sleep  and  out-of- 
door  living.  Such  cases  will  be  helped  by  a  pro- 
longed course  of  Somapathic  treatment. 

In  connection  with  the  above  treatment  use  heat 
over  the  lower  dorsal,  lumbar  and  sacral  regions  of 
the  spine. 


56  The   Practice   of  Somapathy 

ANEMIA 

Use  heat  for  fifteen  minutes,  then  cold  for  the 
same  length  of  time  on  the  whole  spine.  Treat  in 
this  manner  twice  per  day.  About  the  middle  of  the 
day  use  cold  on  the  lower  dorsal  and  upper  lumbar 
regions.  Lightly  massage  the  entire  body  once  per 
day.  When  the  patient  becomes  better  do  this  three 
times  per  week.  Give  a  good,  nutritious  diet  as 
soon  as  the  patient  is  able  to  handle  it.  See  diet 
for  tuberculosis.  Take  plenty  of  time  for  sleep  and 
sleep  out  of  doors  if  possible ;  if  not,  be  sure  that  the 
ventilation  in  the  sleeping-room  is  good.  Keep  reg- 
ular hours  and  give  up  all  social  functions.  Take  a 
hot  bath  twice  per  week.  Take  a  cold  sponge  bath, 
followed  by  a  brisk  rubbing  with  a  coarse  towel, 
each  morning. 


ANGINA  PECTORIS 
Stenocardia,  Breast  Pang 

At  the  time  of  the  attack  apply  the  ice  bag  on  the 
spine  from  the  second  to  the  eighth  dorsal.  If  the 
pain  extends  to  the  neck  and  arm  extend  the  cold 
treatment  as  high  as  the  fourth  cervical  vertebra. 
Loosen  all  tissues  of  the  breast  over  the  heart  by 
massage.  The  tissues  of  the  upper  dorsal  region 


Directions  for  Treatment  57 

should  be  loosened  by  massage.  A  good  way  to 
loosen  them  is  to  pull  them  away  from  the  spine, 
as  indicated  in  figure  10.  See  also  figures  11,  12,  13, 
14.  Such  a  patient  would  do  well  to  lead  a  quiet 
life  afterward.  Avoid  all  excitement  and  do  not 
overwork.  Avoid  heavy  and  indigestible  food.  -Be 
sure  that  the  kidneys  and  bowels  are  kept  active. 


ANURIA 
Suppression  of  Urine 

Use  the  hot  water  bag  over  the  lower  dorsal  and 
upper  region  of  the  spine  three  times  per  day.  It 
should  be  used  an  hour  at  a  time.  The  spine  must  be 
stimulated  at  the  center  of  enervation  for  the  kid- 
neys. If  the  case  is  a  severe  one  spinal  thrusts  may  be 
given  over  the  spine  further  to  stimulate  the  spine, 
and  through  this  the  kidneys.  These  thrusts  may 
be  given  as  indicated  in  figure  13.  Loosen  the  tis- 
sues of  the  back  by  drawing  them  away  from  the 
spine,  as  in  figure  10.  Give  deep  massage  over  the 
abdomen  to  draw  the  blood  there  and  relieve  the 
congestion  in  the  kidneys,  as  seen  in  figures  17  and 
18.  Keep  the  skin  active  by  hot  tub  baths  and  hot 
packs.  See  Hot  Packs.  Use  warm  salt  water  ene- 
mas and  keep  the  bowels  open.  If  this  trouble  is 
caused  by  acute  Bright's  disease  that  malady  must 


58  The  Practice  of  Somapathy 

be  treated.  See  Bright's  Disease.  The  ureter  of 
a  healthy  kidney  may  be  obstructed  by  pressure,  or 
both  ureters  may  be  blocked  by  calculi.  Patients 
have  lived  for  ten  days  with  complete  suppression 
of  the  urine.  One  doctor  records  the  case  of  one 
patient  who  lived  nineteen  days  with  this  trouble. 

APHONIA 
Loss  of  Voice 

Use  a  hot  pack  on  the  neck,  both  front  and  back, 
for  half  an  hour.  After  this  gently  massage  the 
neck,  removing  all  contractions  of  muscles.  Use 
this  treatment  each  day.  Sometimes  one  will  be 
sufficient.  For  neck  treatments,  see  the  "  Practice 
of  Osteopathy,"  third  edition,  by  Murray.  See  fig- 
ures 4,  5,  6,  7,  8. 

APPENDICITIS 

When  the  pain  is  present  use  cold  over  the  lum- 
bar region  and  the  lower  dorsal  region  as  high  up 
as  the  eighth  vertebra.  Use  heat  over  the  abdomen. 
Keep  the  region  over  the  solar  plexus  and  the  ap- 
pendix as  warm  as  is  possible  for  the  patient  to  bear. 
The  hot  pack  is  recommended  here.  See  Hot  Pack. 
Use  warm  soapsuds  enemas  to  relieve  the  bowels 
of  foreign  matter.  This  will  also  help  to  secure  a 
better  circulation.  After  the  pain  has  left  this 


Directions  for  Treatment  59 

treatment  should  be  continued  every  other  day  for 
some  time.  Keep  the  bowels  open.  Relax  the  tis- 
sues of  the  back.  See  figures  10-13.  An  operation 
may  be  necessary  in  a  very  few  cases. 

APOPLEXY 
Cerebral  Hemorrhage 

Apply  heat  to  the  cervical  region  and  an  ice  cap 
to  the  head  as  soon  as  possible.  Place  hot  water 
bottles  at  the  feet  and  raise  the  head  of  the  bed. 
Keep  the  bowels  open.  Change  the  position  of  the 
patient,  having  him  rest  first  on  one  side  then  the 
other,  to  avoid  pneumonia. 

When  you  are  treating  a  person  who  has  had  this 
disease  for  a  month  or  six  weeks,  relax  all  the  mus- 
cles at  the  back  of  the  neck,  as  indicated  in  figures 
4  and  5.  Loosen  all  of  the  spinal  tissues.  See  fig- 
ures 9,  10,  11,  12,  13.  Call  the  blood  to  the  abdomen 
by  deep  massage,  as  seen  in  figures  17  and  18.  Give 
general  massage  to  the  paralyzed  side.  This  will 
keep  the  muscles  from  contracting  and  the  joints 
free  from  ankylosis. 

For  the  .first  month  after  the  attack  a  very  light 
diet  should  be  recommended.  Fruit  juices  and  light 
broths  may  be  freely  used  during  this  period.  After 
this  time  all  meats  and  nitrogenous  foods  must  be 
left  alone.  Never  indulge  in  a  full  meal.  The  pa- 


60  The   Practice   of  Somapathy 

tient  must  always  be  underfed  as  long  as  he  lives. 
In  fact,  this  is  one  of  the  conditions  of  life  for  one 
suffering  from  this  disease.  If  possible,  do  not 
drink  more  than  one  and  a  half  quarts  of  water 
daily.  Water  increases  the  volume  of  blood  in  the 
body,  and  one  object  is  to  keep  down  the  amount 
of  blood  as  much  as  possible.  Never  use  alcohol,  in 
any  form,  tobacco,  tea,  coffee  or  condiments.  Be 
sure  and  keep  the  bowels  open. 

The  strenuous  mode  of  life  must  be  given  up. 
Overexertion  is  prohibited,  both  mentally  and  phys- 
ically. One  suffering  with  this  malady  is  easily  ir- 
ritated and  must  be  constantly  on  his  guard  to  avoid 
becoming  angry.  Cultivate  a  cheerful  disposition. 
Some  light  occupation  is  to  be  preferred,  but  do  not 
allow  yourself  to  become  too  tired. 

For  an  extended  drugless  treatment  and  how  to 
avoid  this  disease  see  "  Practice  of  Osteopathy,"  by 
Murray,  the  third  edition,  page  340. 

ARYTHMIA 
Irregular  Heart  Beat 

Use  cold  and  then  heat  in  the  upper  dorsal  re- 
gion, alternating  with  each  temperature  fifteen  min- 
utes to  a  treatment.  Treat  thirty  minutes  three 
times  per  day.  If  the  person  has  a  strong  constitu- 


Directions  for  Treatment  61 

tion  and  stands  the  treatment  well,  on  the  second 
day  give  hour  treatments.  As  the  patient  becomes 
better  the  number  of  treatments  may  be  lessened, 
but  their  length  had  best  not  be  shortened.  Loosen 
up  the  tissues  in  the  upper  dorsal  region  by  mas- 
sage, as  is  indicated  by  figures  9,  10,  11,  12,  13. 

Stop  the  use  of  tea,  coffee,  tobacco  and  alcohol. 
Do  not  take  sedatives,  tonics  or  any  drug  that  con- 
trols the  action  of  the  heart. 

ARTERIOSCLEROSIS 
Hardening  of  the  Arteries 

Use  cold  and  then  heat,  alternating  every  fifteen 
minutes  for  an  hour  once  per  day.  The  above  treat- 
ment is  to  be  used  on  the  spine  from  the  first  to 
the  eighth  dorsal.  At  the  same  time  use  heat  from 
the  eighth  dorsal  down  to  the  sacrum.  Regulate 
the  diet  and  general  mode  of  life.  Leave  alcohol 
in  every  form  alone.  Do  not  use  coffee  or  meat.  A 
vegetable  diet  is  to  be  preferred.  Keep  the  skin 
active  by  a  proper  amount  of  exercise,  hot  baths 
and  thorough  massage.  See  that  all  tissues  of  the 
back  and  neck  are  kept  loosened.  See  figures  4,  5,  9, 
10,  11,  12,  13. 

Avoid  overwork,  worry,  excitement  or  anger.  A 
moderate  amount  of  mental  and  bodily  exercise  is 
best.  Keep  the  bowels  and  kidneys  active.  See 
Constipation;  also  Kidneys. 


62  The  Practice   of  Somapathy 

ARTICULAR  RHEUMATISM 
Rheumatic  Fever 

When  the  pain  is  intense  in  any  joint,  use  cold 
on  the  spinal  nerve  center  which  controls  the  nerve 
supply  of  the  joint  or  joints  affected.  At  other 
times  alternate  with  the  use  of  heat  and  cold,  using 
each  for  fifteen  minutes,  for  an  hour,  on  the  entire 
length  of  the  spine.  Use  the  cold  last  at  every 
treatment.  This  treatment  is  to  be  applied  three 
times  per  day.  Cold  compresses  are  used  with  great 
satisfaction  in  Germany.  These  are  applied  directly 
on  the  part  affected.  See  Cold  Compresses.  Hot 
fomentations  are  also  successfully  used  in  the  same 
manner.  See  Hot  Fomentations. 

When  the  pain  is  very  severe  hot  cloths  wrung- 
out  of  the  following  solution  are  sometimes  applied 
to  the  joint  affected : 

Carbonate  of  Soda  6  drachms 
Laudanum  1  ounce 

Glycerine  2  ounces 

Water  9  ounces 

but  the  above  will  hardly  be  necessary  if  the  cold 
is  applied  to  the  spine  as  directed  above. 

Have  the  patient  rest  between  blankets.  Regu- 
late the  diet  carefully.  Let  the  food  be  light  and 
nutritious.  Lemonade  and  oatmeal  water  may  be 


Directions  for  Treatment  G3 

freely  used.  In  general  the  diet  used  in  fevers  is 
best.  Of  course  alcohol  and  meat  should  not  be 
used.  See  Chronic  Rheumatism.  In  some  cases 
the  massage  recommended  there  may  be  given  in 
articular  rheumatism  with  benefit. 


ARTHRITIS  DEFORMANS 
Rheumatic  Gout,  Rheumatoid  Arthritis 

This  disease  originates  in  the  spine.  The  fact 
that  after  making  an  attack  on  any  particular  joint 
of  one  hand  it  will  next  attack  the  corresponding 
joint  of  the  other  hand,  indicates  that  the  disease  is 
of  central  origin.  Some  medical  authorities  assert 
that  this  is  proof  that  it  originates  in  the  spine. 

As  soon  as  the  patient  can  be  accustomed  to  the 
treatment  use  heat  for  half  an  hour  on  the  dorsal 
region  of  the  spine.  Follow  this  at  once  by  using 
cold  in  the  same  region  for  half  an  hour.  This 
treatment  will  have  the  best  results  when  applied 
three  times  per  day.  But  there  will  be  good  re- 
sults if  it  is  used  only  once  per  day. 

When  the  pain  is  very  severe  in  any  joint  use  cold 
at  its  center  of  enervation  on  the  spine.  There  is 
no  pain  in  a  very  few  cases,  but  severe  pain  is  the 
rule  in  most  cases  of  this  disease.  The  treatment 
must  be  continued  for  a  long  time.  We  do  not  ex- 


04  The  Practice   of  Somapathy 

pect  to  reduce  deformities  caused  by  this  disease, 
but  their  progress  may  be  stopped.  Thoroughly 
massage  the  parts  affected  each  day.  This  tends  to 
build  up  the  wasted  cartilages  and  muscles. 

The  patient  should  have  a  generous  and  whole- 
some diet.  Roast  beef,  beefsteak,  mutton,  chicken, 
eggs,  milk,  olive  oil,  butter  and  cream  should  form 
a  good  part  of  the  food  used. 


ASTHMA 

When  the  paroxysms  of  difficult  breathing  occur, 
as  they  often  do  nightly  for  a  few  days  to  two 
weeks,  apply  heat  to  the  dorsal  region  of  the  spine. 
As  a  curative  agent  use  cold  once  per  week  on  the 
dorsal  region  of  the  spine,  followed  immediately  by 
the  use  of  heat.  They  should  each  be  applied  for 
thirty  minutes.  Every  day  use  heat  on  the  dorsal 
and  cervical  regions  of  the  spine  for  one  hour.  In 
treating  one  case  for  the  paroxysms  the  patient  ob- 
tained excellent  results  through  the  use  of  a  hot 
salt  bag.  She  applied  it  by  lying  on  it. 

As  this  disease  is  often  caused  by  a  form  of  nerv- 
ousness, anger,  excitement,  fright  and  all  social  du- 
ties should  be  avoided.  Massage  of  the  muscles  of 
the  back  and  neck  helps  when  employed  three  times 


Directions  for  Treatment  65 

per  week.  The  idea  is  to  remove  all  contractions  of 
muscle  tissue.  See  illustrations  4,  5,  6,  7,  8,  9,  10, 
11,  12,  13. 

Be  very  careful  of  the  diet.  The  heavy  meals 
should  not  be  taken  later  than  noon.  Do  not  use 
sweets  or  any  article  of  food  that  tends  to  form  gas 
in  the  stomach. 


BED  WETTING 
Incontinence  of  Urine 

Use  cold  on  the  lower  dorsal  and  lumbar  regions 
of  the  spine  for  thirty  minutes  before  retiring.  Ele- 
vate the  foot  of  the  bed.  Use  cold  on  the  lower  dor- 
sal, lumbar  and  sacral  regions  of  the  spine  twice 
each  week  for  an  hour,  some  time  before  noon. 
Take  a  cool  sponge  bath  on  rising  each  morning. 
Follow  it  by  a  brisk  rubbing.  Eat  the  largest  meal 
at  noon.  Drink  plenty  of  water  early  in  the  day 
and  up  to  about  three  hours  before  retiring.  Avoid 
punishment,  as  it  is  harmful,  but  a  system  of  re- 
wards, in  case  of  a  child,  works  well.  A  nickel  for 
each  night  that  the  bed  remains  dry  is  very  help- 
ful. The  author  has  been  very  successful  in  over- 
coming this  annoying  condition. 


(>6  The  Practice   of  Somapathy 

BALDNESS 
Alopecia 

As  this  disease  appears  mostly  among  men  we 
conclude  that  the  hats  are  partly  responsible  for 
this  trouble.  The  hat  bands  are  too  tight,  inter- 
fering with  the  proper  nourishment  of  the  scalp. 
There  is  too  much  heat  without  any  ventilation. 
Fevers  also  are  the  cause  of  baldness. 

The  best  treatment  is  to  massage  the  scalp  each 
day.  Three  times  per  week  loosen  the  muscles  in 
the  back  of  the  neck  and  down  to  the  middle  dorsal 
region  of  the  back.  See  illustrations  4,  5,  9,  10. 
After  each  massage  treatment  use  heat  in  the  upper 
part  of  the  back  of  the  neck  for  thirty  minutes.  Tt 
has  been  recommended  to  expose  the  bare  head  in 
the  sun  frequently. 

BILIOUS  REMITTENT  FEVER 

For  the  treatment  of  this  disease  see  Aestvo 
Autumnal  Fever. 

BLADDER,  INFLAMMATION  OF 

Cystitis 

Rest  in  bed  with  the  hips  slightly  elevated.  Use 
cold  over  the  lumbar  and  sacral  regions  of  the  spine. 


Directions  for  Treatment  67 

If  this  does  not  relieve  the  pain  to  a  sufficient  de- 
gree, use  ice  water  injections  into  the  rectum.  Hot 
applications  over  the  bladder  will  be  helpful.  Lift 
up  the  abdominal  contents  as  indicated  in  figure 
20.  Give  deep  massage  of  the  bowels,  as  this  helps 
to  draw  the  blood  away  from  the  bladder.  See  fig- 
ures 17,  18.  Treat  acute  cases  twice  daily.  Keep 
the  bowels  open. 

The  bladder  should  be  irrigated  with  a  two  per 
cent  solution  of  boric  acid,  using  for  that  purpose 
a  soft  rubber  tube  and  a  fountain  syringe.  Sterilize 
the  water  by  boiling.  A  milk  diet  should  be  used. 
Drink  a  great  deal  of  water.  Peppermint  tea  is 
splendid. 

BLINDNESS 

Amblopia 

See  Amblopia.  See  also  the  article  on  the  treat- 
ment of  the  eyes.  This  treatment  will  do  a  great 
deal  for  the  eyes. 

BRACHYCARDIA 
A  Slow  Beating  of  the  Heart 
Use  a  hot  water  bag  on  the  spine  from  the  second 
to  the  sixth  dorsal  vertebra,  inclusive.    This  treat- 
ment should  be  applied  one  hour  each  day.    When 
the  heart  beat  becomes  faster  three  times  per  week 
will  be  sufficient.    See  Heart. 


68  The  Practice  of  Somapathy 

BRIGHT'S  DISEASE,  ACUTE 

Acute  Nephritis.     Acute  Inflammation  of  the 
Kidneys 

Use  hot  water  on  the  lower  dorsal  and  upper  lum- 
bar regions  of  the  spine  for  twenty  minutes  each 
day.  When  the  patient  has  improved  to  an  appre- 
ciable extent  use  the  hot  water  treatment  three 
times  per  week,  but  increase  the  length  of  the  treat- 
ment, gradually,  to  forty-five  minutes.  Use  hot 
tub  baths  and  the  hot  pack  twice  each  week. 

Loosen  all  contracted  muscles  of  the  back  by  mas- 
saging them.  This  work  should  be  given  down 
over  the  sacrum  also.  See  figures  10,  11,  12,  13,  14, 
Give  thorough  deep  massage  over  the  abdomen  each 
day.  See  figures  17,  18.  Rest  in  bed. 

Live  on  an  exclusive  milk  diet  for,  at  least,  sev- 
eral days.  For  some  time  after  it  will  be  best  to  use 
an  exclusive  liquid  diet.  When  using  milk  sip  it 
slowly.  An  adult  needs  from  two  to  four  quarts 
per  day.  It  may  be  diluted  with  vichy  or  carbonic 
acid  water.  If  the  milk  can  not  be  made  to  agree 
with  the  patient,  gruels  may  be  given,  made  of  ar- 
rowroot, rice,  oatmeal,  etc.,  but  do  not  use  meat  or 
vegetables  in  the  diet.  A  good  drink  is  a  drachm 
of  cream  of  tartar  in  a  quart  of  boiling  water.  Add 
the  juice  of  a  lemon  and  a  little  sugar.  Drink  when 
cool. 


Directions  f-or  Treatment  69 

To  the  diet  list,  a  little  later  on,  may  be  added 
rice  pudding,  blanc  mange,  stewed  prunes,  baked 
apples  and  orange  juice.  The  return  to  the  regular 
diet  should  be  slow.  Even  then  use  plenty  of  milk 
and  avoid  highly-seasoned  and  spiced  foods,  rich 
foods,  pastry,  alcoholic  drinks,  tea  and  coffee. 

BREATHING  PROPERLY 

See  Deep  Breathing. 

BRIGHT'S  DISEASE,  CHRONIC 

Use  hot  water  on  the  lower  dorsal  and  upper 
lumbar  regions  of  the  spine  each  day.  Use  a  hot 
tub  bath  and  also  a  hot  pack  once  per  week.  These 
should  be  given  three  days  apart.  See  Hot  Pack. 
Massage  as  directed  in  the  acute  form  of  this  dis- 
ease three  times  per  week.  One  must  avoid  care 
and  worry.  Take  regular  exercise  out  of  doors. 

A  patient  with  this  disease  is  allowed  greater 
latitude  in  his  choice  of  a  diet  than  in  the  acute 
form.  After  the  discovery  of  the  disease  it  will  be 
well  to  go  on  an  exclusive  milk  diet  for  from  two 
to  four  months.  Keep  the  bowels  open  with  or- 
anges, lemons,  apples,  and  stewed  prunes.  Always 
use  some  milk.  Corn  bread,  sago,  tapioca,  rice, 
macaroni,  fresh  green  vegetables,  bacon,  butter, 


70  The  Practice   of  Somapathy 

potatoes,  olive  oil,  the  white  meat  of  chicken,  raw 
oysters,  clams  and  fresh  fish,  a  little  mutton  or 
fresh  beef  may  be  taken.  Drink  plenty  of  water, 
both  hot  and  cold.  Lemonade,  buttermilk,  ginger 
ale  and  the  cream  of  tartar  drink,  advised  in  acute 
nephritis,  may  be  used  freely. 

BRONCHITIS 

During  the  first  stage  of  this  disease  there  is  an 
irritating  cough.  The  mucous  membrane  is  dry. 
There  is  pain  and  fullness  in  the  chest,  with  difficult 
breathing.  Place  a  hot  water  bag  on  the  spine  from 
the  fourth  cervical  to  the  seventh  dorsal  and  the 
cough  will  lessen  at  once.  The  breathing  will  be 
easier  and  the  fever  will  subside. 

A  hot  mustard  foot  bath  and  a  mild  mustard  plas 
ter  applied  to  the  chest  will  be  found  helpful.  Give 
hot  lemonades  and  keep  the  bowels  open.  Massage 
the  back  of  the  neck  and  also  the  back  and  abdo- 
men. See  figures  4,  5,  9,  10,  13,  17,  18.  Massage 
each  day,  thoroughly  loosening  the  muscles.  If  the 
case  is  a  chronic  one  three  times  per  week  will  be 
sufficient. 

BRONCHOPNEUMONIA 

Lobular  Pneumonia,  Catarrhal  Pneumonia 
On  first  noting  the  symptoms  of  this  disease  give 


Directions  for  Treatment  71 

a  warm  bath  and  an  enema.  Give  adults  a  hot  mus- 
tard foot  bath.  Be  sure  and  change  the  position  of 
the  patient  in  bed  frequently,  for  if  we  allow  a  pa- 
tient to  lie  on  the  back  too  long  it  predisposes  to 
congestion  of  the  lungs.  Use  heat  over  the  upper 
dorsal  region  of  the  spine  and  also  the  abdomen. 

At  the  same  time  use  a  cold  compress  nearly 
around  the  whole  chest.  These  compresses  should 
be  rather  moist  and  allowed  to  remain  on  until  they 
begin  to  be  warm.  See  Cold  Compresses.  When 
each  compress  is  removed  a  dash  of  cold  water  on 
the  chest  will  tone  up  the  patient.  When  the  tem- 
perature is  102.5  renew  the  cold  compress  every 
half  hour. 

In  the  case  of  children,  careful  nursing  is  of  the 
utmost  importance.  Allow  plenty  of  fresh  air  in 
all  cases.  If  there  is  trouble  in  raising  phlegm, 
raise  the  foot  of  the  bed  six  or  seven  inches. 

Relax,  by  massage,  all  the  muscles  of  the  back, 
particularly  on  the  affected  side,  See  figures  10, 
12,  13.  Relax  all  the  tissues  of  the  neck  as  in  fig- 
ures 4,  5,  6,  7,  8.  Relax  the  muscles  over  the  chest 
and  give  deep  abdominal  massage  over  the  abdomen 
to  draw  the  blood  away  from  the  lungs.  See  figures 
17,  18.  Some  relaxing  work  over  the  chest  and  ab- 
domen should  be  given  three  or  four  times  per  day 


72  The  Practice  of  Somapathy 

and  the  other  massage  done  thoroughly  once  per 
day. 

Quick  improvement  may  be  expected  under  this 
treatment.  The  diet  should  be  milk,  beef  juice,  soft- 
boiled  eggs.  Give  plenty  of  water  and  lemonade. 
To  those  who  drink  alcohol  in  any  form  we  must 
give  some  good  whiskey  as  a  stimulant. 

CATARRH 

Use  a  cold  water  bottle  in  the  upper  dorsal  and 
cervical  regions  of  the  spine.  To  secure  the  best 
results  we  should  give  this  treatment  a  half  hour 
three  times  per  day.  Increase  the  treatment  until 
we  reach  a  full  hour  three  times  per  day.  If  con- 
venient to  treat  that  often  begin  at  once,  using  the 
cold  water  once  per  day  for  an  hour.  Avoid  sudden 
changes  of  temperature  in  going  from  a  super- 
heated room  out  into  the  cold,  or  vice  versa.  Keep 
the  bowels  open. 

Faster  progress  may  be  made  in  securing  results 
if  some  massage  be  employed.  Loosen  all  the  mus- 
cles which  will  be  found  to  be  contracted  in  the 
upper  dorsal  and  cervical  regions.  See  figures  4,  5, 
6,  7,  8,  9,  10,  11,  12.  Use  deep  abdominal  massage. 
See  figures  17,  18.  Relax  the  tissues  on  the  sides  of 
the  nose.  It  would  be  well  to  pay  some  attention  to 
the  diet. 


Directions  for  Treatment  73 

CATARRH  OF  THE  STOMACH 

Use  cold  on  the  dorsal  region  of  the  spine.  If  the 
case  is  an  acute  one  the  cold  should  be  applied 
three  times  per  day  for  an  hour  each  time.  If  a 
chronic  case  is  being  treated  three  times  per  week 
will  be  sufficient.  Give  massage  in  the  dorsal  re- 
gion of  the  back  to  loosen  the  tissues  there.  See 
9,  10,  11,  12,  13,  14.  Press  in  above  the  solar  plexus 
and  apply  heat  there  when  the  cold  is  applied  to  the 
spine.  See  figure  number  19.  Do  not  worry.  Ex- 
ercise systematically.  Take  a  cold  sponge  bath 
every  day.  Pay  attention  to  your  diet. 

CEREBRAL   HEMORRHAGE 

See  treatment  for  Apoplexy. 


Use  an  ice  bag  or  an  ice  coil  on  the  head.  Give 
the  feet  warm  mustard  baths  and  use  cold  sponge 
baths  on  the  rest  of  the  body.  If  there  is  persist- 
ent vomiting,  place  an  ice  bag  in  the  upper  dorsal 
region.  Give  an  enema  of  salt  water  daily.  In  this 
use  a  tablespoonful  of  salt  to  a  quart  of  water. 

Thoroughly,  gently  and  persistently  loosen  the 
muscles  of  the  back  and  neck  by  massaging  them. 
See  figures  4,  5,  9,  10,  11,  12,  13,  14.  Massage  the 


74:  The   Practice   of  Somapathy 

abdomen  deeply  every  day.  See  figures  17,  18.  Let 
the  room  in  which  the  patient  is  be  quiet  and  dark- 
ened. The  diet  should  be  liquid. 

CHICKENPOX 

A  warm  bath  should  be  given  when  the  eruptions 
first  appear.  Keep  the  bowels  open  and  avoid  tak- 
ing cold.  If  the  itching  is  troublesome  apply  car- 
bolized  vaseline. 

CHILLS  AND  FEVER 
Malarial  Fever 

If  there  is  a  chill  imminent  or  in  progress  apply 
cold  to  the  entire  spine  and  heat  to  the  solar  plexus. 
I  have  obtained  the  best  of  results  by  alternating 
in  the  use  of  cold  and  heat  at  the  same  treatment 
when  the  chill  is  not  present.  This  properly  stim- 
ulates the  cord  and  at  the  same  time  changes  all  of 
its  blood  supply.  Use  the  cold  at  first  for  about  twen- 
ty minutes,  and  then  the  heat  for  the  same  length  of 
time  on  the  entire  spine.  When  you  use  cold  on 
the  spine  use  heat  on  the  solar  plexus.  Treat  twice 
each  day  with  the  cold  and  heat  and  once  a  day 
with  massage  as  follows:  Loosen  up  all  the  tissues 
of  the  back,  as  seen  in  figures  9,  10,  11,  12,  13,  14. 
The  back  of  the  neck  is  to  be  treated,  as  per  figures 


Directions  for  Treatment  75 

4  and  5.  Deep  massage  is  to  be  given  over  the  ab- 
domen, as  indicated  in  illustrations  17  and  18.  Keep 
the  bowels  open.  Every  other  day  an  enema  may 
be  given,  if  necessary  for  this  purpose,  in  which  a 
tablespoonful  of  salt  is  dissolved  to  each  quart  of 
water. 

CHLOROSIS 
Green  Sickness 

In  most  cases  we  would  use  the  ice  bag  on  the 
whole  spine  for  fifteen  minutes;  then  the  hot  water 
each  day  will  be  helpful.  In  this  treatment  con- 
stitute one  treatment.  At  the  next  treatment  use 
the  hot  water  bag  first  and  then  the  ice.  When  the 
cold  is  used  on  the  spine  use  heat  over  the  solar 
plexus.  As  the  patient  increases  in  strength  in- 
crease the  length  of  the  treatments. 

A  gentle  and  general  massage  treatment  given 
each  day  will  be  helpful.  In  this  treatment  con- 
sume about  twenty  minutes  at  first  and  lengthen 
the  treatment  gradually  until  an  hour  is  used. 

The  diet  and  hygiene  should  be  carefully  looked 
after.  Use  easily-digested  food;  green  vegetables, 
stewed  and  fresh  fruit,  milk,  eggs,  fish  and  meat. 
Do  not  use  tea  or  coffee.  A  warm  bath  should  be 
taken  three  times  per  week.  The  habits  should  be 
regular.  Have  plenty  of  rest.  Spend  as  much  time 
as  you  can  out  of  doors. 


76  The   Practice   of  Somapathy 

CHOLANGITIS 

The  same  treatment  as  gall  stones,  which  see. 

CHOREA 

See  St.  Vitus'  Dance. 

CHOLERA 
Acute  Gastroenteritis 

Use  cold  on  the  spine  in  the  lower  dorsal  and 
lumbar  regions,  after  we  are  sure  that  all  irritating 
substances  have  been  removed  from  the  bowels. 
Thoroughly  relax  all  the  tissues  of  the  back  with 
the  use  of  massage.  See  figures  10,  11,  12,  13,  14. 

The  diet  should  be  mild  and  bland,  burnt  flour 
soup,  tea  and  toast,  peppermint  tea  and  boiled  rice. 
Do  not  use  much  water,  as  it  tends  to  loosen  the 
bowels.  The  return  to  a  regular  diet  should  be 
slow.  See  Cholera  Infantum. 

CHOLERA  INFANTUM 

This  disease  has  much  the  same  symptoms  as 
cholera,  but  when  it  occurs  in  children  two  years 
of  age  or  younger  we  name  it  cholera  infantum.  It 
is  frequently  due  to  poisons  generated  in  milk, 
which  affect  nerve  centers.  The  stomach  and  in- 


Directions  for  Treatment  77 

testines  should  be  emptied  as  soon  as  possible.  This 
can  be  accomplished  by  irrigation.  The  tempera- 
ture when  high  should  be  regulated  by  the  use  of 
baths.  If  the  temperature  is  below  normal  apply 
hot  water  bags  to  the  body.  The  bath  for  reducing 
the  temperature  should  last  for  ten  or  twenty  min- 
utes. It  should  be  given  often  and  an  ice  cap  ap- 
plied to  the  head. 

After  the  stomach  has  been  cleansed  do  not  give 
the  child  anything  but  a  little  brandy  and  water. 
After  all  symptoms  have  subsided  the  regular  diet 
should  be  restored  gradually. 


CIRRHOSIS  OF  THE  LIVER 

When  this  disease  has  been  caused  by  the  use  of 
alcohol  the  use  of  it  must  be  given  up.  We  want 
to  stimulate  the  liver,  and  so  apply  heat  to  the  dor- 
sal region  of  the  spine  from  the  sixth  vertebra  to 
the  lumbar  region.  All  of  the  tissues  of  the  back 
should  be  well  massaged.  See  figures  number  9,  10, 
11,  12,  13,  14.  Stimulate  the  solar  plexus.  See  fig- 
ure 19.  Use  the  heat  on  the  spine  an  hour  at  each 
treatment  twice  per  day  for  one  week.  Then  the 
next  week  use  heat  fifteen  minutes,  then  cold  for  the 
same  length  of  time,  then  heat  for  half  an  hour ; 
this  treatment  to  be  given  twice  per  day  for  this 


78  The  Practice   of  Somapathy 

week.  Then  treat  a  week  as  directed  for  the  first 
week.  Continue  the  treatment  in  this  manner  week 
by  week. 

Drink  plenty  of  water.  Never  overeat.  Do  not 
use  hearty  foods.  Some  cases  do  best  on  an  ex- 
clusive milk  diet.  Regular  hours  are  best  for  sleep- 
ing and  exercising.  Walking  in  the  open  air  is 
good.  Take  a  full  tub  bath  twice  per  week  and  a 
sponge  bath  every  morning  and  evening. 


COLD   COMPRESSES 

The  compress  is  made  of  three  layers  or  thick- 
nesses of  old  linen.  It  should  be  cut  in  such  a 
manner  that  there  will  be  three  layers  of  the  mate- 
rial when  it  is  applied  to  the  part  of  the  body  for 
which  it  is  intended.  A  piece  of  flannel  should  be 
prepared  so  that  it  will  completely  cover  the  linen 
when  the  linen  is  properly  applied.  The  linen  i.s 
wet  in  water  at  the  temperature  of  60  degrees  F., 
and  after  being  properly  applied  is  covered  with  the 
flannel,  being  kept  in  place  with  safety  pins.  There 
should  be  two  compresses,  using  one  after  the  other. 
Each  compress  should  remain  on  until  it  becomes 
warm  from  the  heat  of  the  body,  in  most  cases,  and 
then  renewed. 


Directions  for  Treatment  79 

COLD  SENSATION 
A   Constant   Sense  of  Chilliness 

Use  the  ice  bag  on  the  entire  spine  for  fifteen  min- 
utes three  times  per  day.  Gradually  increase  the 
length  of  the  treatment  until  you  reach  a  full  hour. 
This  will  cure  the  most  stubborn  cases.  At  one 
time  the  author  had  such  a  patient  who  had  sub- 
mitted to  nearly  all  kinds  of  treatment  with  no  help. 
She  was  being  treated  osteopathically  for  other 
troubles,  and  an  effort  was  made,  off  and  on,  for  two 
years,  to  get  her  to  try  cold  applications  to  the 
spine.  Her  apartments  had  to  be  kept  at  from  80 
to  85  degrees  F.,  and  even  then  she  was  not  com- 
fortable. Finally  she  consented  to  try  the  cold  ap- 
plications, and  was  so  helped  with  one  treatment 
that  she  persevered  with  the  treatment  until  she  was 
permanently  cured. 

COLD 

A  General  Cold 

Apply  a  hot  water  bag  to  the  entire  spine  for  one 
hour.  Massage  the  muscles  of  the  back.  See  fig- 
ures 9,  10,  11,  12,  13,  14.  Loosen  the  muscles  ot 
the  back  of  the  neck.  See  figures  4,  5.  Work  over 
the  abdomen,  using  de.ep  massage.  See  figures  17. 
18.  Work  over  the  solar  plexus  as  in  figure  19. 


80  The  Practice  of  Somapathy 

When  it  is  possible  take  a  hot  foot  bath  and  an  in- 
jection of  warm  salt  water,  using  a  tablespoonful  ol 
salt  to  a  quart  of  water.  Drink  a  hot  lemonade  and 
go  to  bed.  If  you  have  any  fever  remain  in  bed  as 
long  as  the  fever  lasts.  Give  the  above  treatment  as 
long  as  the  cold  lasts  each  day. 

If  you  are  liable  to  colds,  sleep  in  a  well-venti- 
lated room.  Take  a  cold  sponge  bath  every  day, 
followed  by  a  brisk  rub-down  with  a  coarse  towel. 
Keep  the  bowels  open ;  they  ought  to  have  a  free 
movement  every  day.  Do  not  wear  furs  nor  neck 
mufflers,  and  wear  thin  underwear,  keeping  warm 
by  the  use  of  heavy  outer  garments. 

Pure  cold  air  will  never  cause  a  cold.  Nansen, 
the  arctic  explorer,  said  that  there  were  no  colds 
among  his  officers  and  crew  when  he  was  in  the  far 
North,  but  when  they  returned  to  civilization  they 
nearly  all  contracted  colds.  Those  who  live  in  illy- 
ventilated  and  overcrowded  apartments  very  often 
have  colds.  When  a  person  is  overworked,  either 
mentally  or  physically,  or  is  suffering  from  some 
chronic  illness,  he  is  more  predisposed  to  a  cold. 

CONSTIPATION 

Use  the  hot  water  bottle  on  the  spine  from  the 
seventh  dorsal  to  the  last  lumbar  vertebra  an  hour 
each  day.  If  convenient  use  it  an  hour  twice  a  day 


Directions  for  Treatment  81 

for  the  first  week.  Massage  the  bowels  deeply  each 
day.  See  figures  17,  18.  Work  over  the  solar  plex- 
us, as  in  figure  19.  Loosen  the  muscles  of  the  back 
by  massaging  them,  as  in  figures  9,  10,  11,  12,  13 
14.  Should  the  bowels  prove  a  little  obstinate  to 
the  above  treatment  at  first,  use  an  enema,  in  which 
a  tablespoonful  of  salt  has  been  dissolved  to  each 
quart  of  water.  Use  a  fountain  syringe,  and  retain 
the  water  a  half  hour,  if  you  can,  meanwhile  mas- 
saging the  bowel  contents.  Use  the  enema  just 
as  little  as  possible.  Do  not  use  purgatives. 

The  diet  should  receive  especial  attention.  Eat 
those  foods  that  have  a  large  residue  which  passes 
through  the  intestines  and  excites  the  peristaltic 
action  of  the  bowels.  Corn,  potatoes,  cabbage,  tur- 
nips, squash,  pumpkins  and  cauliflower  are  of  this 
class. 

Cornmcal,  oatmeal,  coarse  graham  bread,  also 
bran  bread  are  very  good.  Bran  bread,  made  by  the 
following  recipe,  has  proven  excellent  for  the  pur- 
pose: Two  cups  of  bran,  1  cup  of  flour,  \l/2  cups 
of  sour  milk,  l/2  teaspoon  of  soda,  3  tablespoons  of 
molasses,  1  tablespoon  of  butter,  1  teaspoon  of  salt. 
Mix  the  dry  ingredients  with  the  butter;  then  add 
the  molasses  and  the  milk.  Bake  in  a  moderate  oven 
in  gems  or  a  loaf. 

Two  glasses  of  water  should  be  taken  on  rising 


82  The  Practice  of  Somapathy 

in  the  morning.  Drink  plenty  of  water  between 
meals  and  a  glass  or  two  on  retiring.  See  "  Practice 
of  Osteopathy,"  the  third  edition,  by  Murray. 


CONSUMPTION  OF  LUNGS 

Use  ice  on  the  spine  on  the  dorsal  region  from  th^ 
first  to  the  eighth  vertebra  for  fifteen  minutes,  and 
follow  this  by  the  use  of  heat  for  thirty  minutes. 
Give  the  treatment  once  per  day  for  a  few  days,  and 
then  gradually  increase  the  treatment  to  three  times 
per  day,  but  decrease  to  three  days  in  the  week. 

Loosen  all  the  muscles  of  the  back,  once  each 
day.  See  figures  9,  10,  11,  12,  13,  14.  Massage  the 
bowels  deeply.  See  figures  17,  18.  Have  the  patient 
be  much  in  the  open  air.  It  is  best  to  sleep  out  of 
doors.  Practice  deep  breathing.  See  Deep  Breathing. 
Keep  the  bowels  open.  Let  the  diet  be  nourishing 
and  ample.  As  the  battle  against  this  disease  depends 
on  the  ability  of  the  patient  to  digest  his  food  to  a 
large  extent,  we  should  be  careful  in  the  selection  of 
a  diet.  Oyster,  clam,  barley  and  chicken  soups  are 
good.  Also  heavy  soups  made  of  peas,  beans,  to- 
matoes and  celery,  flavored  with  meat  extracts,  rare 
roast  beef,  beefsteak,  lamb  or  mutton,  ham,  chicken, 
turkey,  eggs,  tongue,  oysters,  herring,  cereals  of  all 


Directions  for  Treatment  83 

kinds,  butter,  olive  oil  on  lettuce  or  raw  tomatoes, 
cream  on  everything  with  which  it  is  palatable,  fat, 
bacon,  potatoes,  green  peas,  string  beans,  spinach, 
cauliflower,  asparagus,  onions,  green  salads,  milk, 
buttermilk,  coffee,  chocolate,  cocoa,  puddings,  ice 
cream,  etc.,  etc. 

You  may  allow  the  patient  to  eat  five  times  a. day, 
but  not  too  much  at  a  time.  For  an  extended  article 
on  this  disease  see  "  Practice  of  Osteopathy,"  Mur- 
ray. 

CRAMPS 
Telegrapher's,  Writer's,  Pianist's 

Use  heat  in  the  lower  cervical  and  upper  dorsal 
regions  for  fifteen  minutes,  followed  by  cold  for  half 
an  hour.  Treat  at  least  once  per  day.  Massage  the 
upper  part  of  the  back.  See  figures  9,  10,  11,  12,  13, 
14.  Loosen  the  muscles  of  the  back  of  the  neck. 
See  figures  4,  5.  Thoroughly  massage  the  arm  in 
which  the  cramps  occur.  Sometimes  rest  is  neces- 
sary for  a  time. 

CROUP 

Apply  a  cold  compress  to  the  neck  and  upper  part 
of  the  chest  and  let  it  remain  until  it  becomes  warm. 
See  Cold  Compress.  Massage  the  neck,  both  front 
and  back.  See  figures  4,  5,  6,  7,  8.  Loosen  the  tis- 


84  The   Practice   of  Somapathy 

sues  of  the  upper  part  of  the  back.  See  figures  D, 
10.  Place  a  hot  water  bag  on  the  upper  dorsal  re- 
gion of  the  spine.  Bathe  the  child's  chest  with  cold 
water  and  allow  plenty  of  fresh  air.  See  Spasmodic 
Laryngitis  or  False  Croup. 

CYSTITIS 

See  Bladder,  Inflammation  of. 

DEEP  BREATHING 

To  keep  the  best  of  health,  if  you  are  in  health, 
and  to  assist  in  the  recovery  from  disease,  it  is  al- 
ways well  to  practice  deep  breathing  regularly.  We 
need  plenty  of  oxygen,  and  we  may  have  this  vital- 
izing element  in  abundance  if  we  but  breathe  prop- 
erly. At  the  same  time  the  muscles  of  the  chest  may 
be  built  up  and  its  capacity  greatly  enlarged,  if  the 
breathing  be  properly  performed.  Always  breathe 
through  the  nose.  Those  who  breathe  through  the 
mouth  usually  have  catarrh. 

To  breathe  properly  the  clothing  must  be  loose 
and  all  muscles  relaxed.  Stand  easily  with  the 
hands  on  the  abdomen.  Now  take  a  full,  deep 
breath,  slowly  allowing  the  abdomen  to  swell  out. 
Then  exhale  slowly,  forcing  the  abdomen  in.  This 
abdominal  type  of  breathing  brings  into  full  play  the 


Directions  for  Treatment  85 

diaphragm,  which  increases  the  capacity  of  the 
chest  and  aids  in  expelling  the  air.  When  you  can 
breathe  correctly  in  this  manner,  and  it  will  take 
practice,  you  may  inhale  a  long,  deep  breath,  bring- 
ing the  arms  slowly  from  the  sides  until  they  meet 
over  the  head,  at  the  same  time  rising  on  the  tip- 
toes. Exhale  slowly,  bringing  the  arms  back  to  the 
sides  again  as  you  do  so.  Do  this  several  times  per 
day,  ten  or  fifteen  minutes  at  a  time,  preferably  in 
the  open  air.  If  you  can  not  take  this  exercise  out 
of  doors  do  so  before  an  open  window. 

Should  your  head  begin  to  ache  while  you  are 
learning  this  exercise  of  deep  breathing  you  may 
know  that  you  are  using  some  of  the  air  cells  of 
your  lungs  which  have  been  in  disuse.  By  practic- 
ing the  above  for  a  time  you  will  breathe  deeply  all 
the  time  and  do  it  while  you  are  walking  or  per- 
forming any  of  your  regular  duties.  Form  this 
habit ;  it  is  a  valuable  one. 

DIABETES  INSIPIDUS 

In  treating  this  disease  we  should  try  and  allay 
all  nervous  conditions.  Too  much  nerve  force  is 
being  expended  in  the  splanchic  region.  Apply  cold 
daily,  for  half  an  hour,  from  the  sixth  dorsal  to  the 
third  lumbar.  Avoid  all  causes  of  excitement.  Do 


BG  The   Practice   of  Somapathy 

not  overwork,  either  mentally  or  physically,  and  do 
not  allow  yourself  to  worry. 

DIABETES  MELLITUS 

Use  heat  on  the  entire  spine  for  fifteen  minutes. 
Follow  this  at  once  with,  the  use  of  cold  on  the  dor- 
sal region,  from  the  sixth  to  the  third  lumbar  ver- 
tebra, for  thirty  minutes.  When  you  begin  this 
treatment  use  it  every  day  for  one  wreek,  after  which 
use  it  three  times  per  week. 

Loosen  up  the  tissues  of  the  entire  back  with  mas- 
sage. See  figures  9,  10,  11,  12,  13,  14.  Massage  the 
abdomen.  See  figures  17,  18.  Tone  up  the  solar 
plexus,  as  indicated  in  figure  19. 

The  diet  is  of  great  importance  in  this  disease. 
Starches  and  sugars  in  every  form  should  be  elim- 
inated as  much  as  possible.  Avoid  everything  made 
of  ordinary  wheat  flour  as  much  as  possible.  Do 
not  eat  potatoes,  peas  or  beans.  Avoid  sweet  fruits, 
beer  and  sour  wine. 

The  patient  can  eat  clear  soups  made  of  any  kind 
of  meat;  eggs  in  all  styles;  fresh  fish  and  meats  of 
all  kinds  except  liver;  fats  of  all  kinds;  vegetables, 
such  as  lettuce,  tomatoes,  spinach,  cress,  radishes, 
asparagus,  cucumbers  and  celery;  all  acid  fruits, 
tea,  coffee,  buttermilk  and  sour  milk;  gluten  and 
bran  bread 


Directions  for  Treatment  87 

DIARRHEA 

When  you  wish  to  check  this  condition  use  cold 
on  the  lower  dorsal  and  upper  lumbar  regions  of  the 
spine.  It  will  be  best  to  determine  the  cause  of  this 
trouble  in  all  cases  before  checking  the  diarrhea. 
The  several  possible  causes  may  be  enumerated  as 
follows:  (1)  Indigestible,  overripe  or  green  fruit.  (2) 
Poisons  generated  in  the  food,  as  ice  cream,  milk, 
etc.,  or  minerals,  which  may  have  been  taken  as 
drugs.  (3)  Sudden  changes  in  the  weather  tempera- 
ture. (4)  Nervous  symptoms,  resulting  from  the 
emotions,  as  fright.  (5)  Various  diseases,  as  cholera, 
typhoid  fever,  tuberculosis,  etc. 

If  the  disease  arises  from  the  first  two  of  the  above 
causes  give  a  dose  of  castor  oil,  followed  by  an 
enema.  Or  a  warm  enema  may  be  given  alone,  iu 
which  a  tablespoonful  of  salt  to  a  quart  of  water 
is  used.  Thoroughly  relax  all  of  the  muscular  tis- 
sues of  the  back  and  neck,  as  indicated  in  figures 
4,  5,  9,  10,  11,  12,  13,  14.  Massage  the  abdomen 
gently,  as  seen  in  figures  17  and  18.  If  the  con- 
dition arises  from  nervousness  rest  is  indicated,  and 
a  treatment  for  the  underlying  causes  should  be 
given  for  two  or  three  months,  about  three  times 
per  week.  See  Neurasthenia.  A  boiled  milk  diet 
and  egg  albumen  may  be  resorted  to  until  the  trou- 
blesome symptoms  have  abated. 


88  The   Practice   of   Somapathy 

DIPHTHERIA 

Apply  a  cold  compress  to  the  neck  and  let  it  re- 
main until  it  becomes  thoroughly  warmed  by  the 
heat  of  the  body.  When  this  has  been  removed 
massage  the  tissues  of  the  neck,  both  front  and 
back,  until  all  contractions  are  removed.  See  fig- 
ures 4,  5,  6,  7,  8.  Then  massage  the  tissues  of  the 
back.  See  figures  9,  10,  11,  12,  13,  14.  Then  apply  a 
fairly  hot  compress  to  the  neck  and  leave  it  on  for 
twenty  minutes.  Then  apply  the  cold  compress  and 
leave  it  on  as  before.  When  this  is  taken  off  apply 
the  hot  compress  for  twenty  minutes.  See  Cold 
Compress.  All  of  the  foregoing  constitutes  one 
treatment.  While  the  case  is  desperate  treat  three 
times  per  day.  As  the  patient  becomes  better  treat 
only  once  per  day.  The  massage  may  be  omitted  at 
the  second  treatment,  when  you  are  giving  three 
per  day. 

Keep  the  patient  in  a  cool,  sunny  and  well-venti- 
lated room.  For  cleansing  the  nostrils  and  phar- 
ynx a  salt  solution  may  be  used,  in  which  is  a  tea- 
spoonful  of  salt  to  a  pint  of  water.  Pour  a  little 
of  this  from  a  spoon  into  the  nostrils  every  two 
hours.  Should  the  nostrils  be  stopped  it  will  be 
necessary  to  use  a  syringe.  Should  a  stimulant  be 
needed  use  whiskey  or  Tokay  wine.  In  case  of  in- 


Directions  for  Treatment  89 

ccssant  vomiting  apply  ice  to  the  upper  dorsal  re- 
gion of  the  spine. 

The  diet  should  be  nutritious  and  easy  of  diges- 
tion. You  may  give  custard,  eggnog,  cornstarch. 
If  the  bowels  are  too  active  give  burnt  flour  soup. 
In  case  they  are  much  too  active  apply  ice  to  the 
lower  dorsal  and  lumbar  region  of  the  spine.  In 
addition  to  the  diet  list  there  may  be  given  pine- 
apple juice,  milk,  cocoa,  eggs,  cream  and  farina. 

DISEASES  OF  WOMEN 

See  Dysmenorrhea,  Endometritis,  Genital  Mal- 
adies, Hysteria,  Menorrhagia,  Metritis,  Ovaries,  In- 
flammation of,  Puritis  Vulvae,  Salpingitis,  Vaginis- 
mus,  Vaginitis,  Vulvitis. 

DROPSY 

Ascites,  Renal  Dropsy 

This  trouble  is  very  often  the  result  of  some  other 
disease.  It  may  follow  diseases  of  the  heart,  lungs, 
liver  or  kidneys.  It  is  always  well  to  stimulate  the 
kidneys.  Use  the  hot  water  bag  on  the  entire  spine 
for  fifteen  minutes ;  then  the  cold  treatment  for  the 
same  length  of  time;  then  use  the  heat  for  fifteen 
minutes.  This  is  all  to  constitute  one  treatment. 
Give  this  twice  each  day.  In  addition  to  the  above 


00  The  Practice  of  Somapathy 

we  should  give  a  massage  treatment  once  a  day. 
Loosen  up  all  the  tissues  of  the  back.  See  figures 
9,  10,  11,  12,  13,  14.  Massage  the  abdomen  deeply 
as  per  figures  17,  18.  Stimulate  the  solar  plexus,  as 
seen  in  figure  19.  Keep  the  bowels  active.  Sec 
Bright's  Disease. 


DRUG  HABITS 

See  Alcoholism. 


DYSENTERY 
Bloody  Flux 

Use  heat  for  fifteen  minutes  over  the  lower  dor- 
sal and  lumbar  regions  of  the  spine.  Immediately- 
after  this  place  cold  on  the  spine  in  the  same  region 
and  heat  over  the  solar  plexus  and  the  abdomen. 
Keep  this  up  for  an  hour  at  each  treatment.  Per- 
haps one  treatment  only  will  be  needed.  Loosen  up 
all  the  muscles  of  the  back.  See  figures  9,  10,  11,  12, 
13,  14.  Deeply  massage  over  the  abdomen,  as  seen 
in  figures  17,  18.  The  diet  should  be  restricted. 
Milk,  broth,  beef  juice  and  egg  albumen  will  he 
sufficient.  See  Diarrhea. 


Directions  for  Treatment  91 

DYSMENORRHEA 
Painful  Menstruation 

Thoroughly  loosen  the  muscular  structures  in  the 
lower  lumbar,  dorsal,  and  sacral  regions  by  massag- 
ing them.  See  figures  10,  11,  12,  13,  14.  Lift  up 
the  intestines,  as  seen  in  figure  20. 

Use  ice  over  the  lumbar  and  sacral  regions  of  the 
spine.  Place  a  hot  water  bag  on  the  lower  part  of 
the  abdomen.  A  hot  water  foot  bath  in  which  a 
tablespoonful  of  mustard  is  used  will  prove  helpful. 


DYSPEPSIA 

Use  heat  over  the  vagus  nerves  in  the  neck  and 
over  the  solar  plexus.  At  the  same  time  apply  cold 
to  the  dorsal  region  of  the  spine.  Treat  in  this  man- 
ner once  each  day  for  an  hour.  Loosen  all  the  tis- 
sues of  the  back  by  massaging  them.  See  figures 
9,  10,  11,  12,  13,  14.  Work  over  the  solar  plexus, 
as  seen  in  figure  19. 

See  that  the  bowels  move  every  day,  as  not  much 
progress  will  be  made  in  any  case  of  stomach  trou- 
ble when  the  bowels  fail  to  move  properly.  Do  not 
eat  when  tired.  Rest,  if  possible,  both  before  and 
after  eating.  Take  a  daily  cold  sponge  bath,  fol- 
lowed by  a  brisk  rub,  each  day.  Be  free  from  care 


92  The  Practice   of  Somapathy 

and  worry  and  take  plenty  of,  time  for  meals,  masti 
eating  the  food  well.     Spend  as  much  time  out  of 
doors  as  possible. 

In  ordinary  cases  the  following  foods  may  be  al- 
lowed :  Wheat  bread,  stale  or  toasted  very  dry,  soda 
crackers,  zwieback,  dry  or  toasted;  then  slices  of 
bacon,  broiled;  butter;  thick  soups,  thoroughly 
cooked,  made  of  asparagus,  tomatoes  or  fresh  peas 
or  potatoes ;  eggs,  but  not  hard  boiled  or  fried ;  oys- 
ters, fresh  fish,  boiled  or  broiled.  Meats  should  be 
young  and  tender.  They  may  consist  of  broiled 
steaks  and  chops,  roast  beef,  mutton  and  chicken. 
Oranges,  peaches,  grape  fruit  are  good,  and  it  is 
well  to  eat  them  and1  other  fresh  fruit  between  meals. 
Prunes  and  apples  may  be  baked  or  stewed.  Black 
coffee  may  be  taken  after  dinner.  In  very  severe 
cases,  where  there  is  Bright's  disease  or  heart  trou- 
ble, it  may  be  necessary  to  give  an  exclusive  milk 
diet.  From  two  to  four  quarts  of  fresh  milk  may 
be  given  in  twenty-four  hours.  It  may  be  given 
seven  or  eight  times  per  day.  Good  fresh  butter- 
milk may  be  used  with  good  effect.  In  case  the  pa- 
tient can  not  take  as  much  milk  as  indicated  above, 
or  enough  to  support  strength,  scraped  meat  is  al- 
lowable; oysters,  raw  or  broiled.  Some  can  eat 
soft-rooked  eggs  and  calves'  brains.  The  follow- 
ing foods  are  absolutely  forbidden  in  all  cases : 


Directions  for  Treatment  93 

Fresh  soft  bread,  hot  bread,  cakes,  pastry,  dough- 
nuts, sweets,  candies  and  sugar ;  fat  or  greasy  food ; 
heavy  vegetables,  dried  or  salt  fish  or  corned  meats, 
veal,  chee'se,  sweet  fruits,  hash  or  twice-cooked 
meats. 

EARACHE 

Lie  with  the  ear  on  a  hot  water  bag.  If  the  pa- 
tient is  an  infant  breathe  into  the  ear.  In  some 
cases  of  earache  a  glass  ear  tube  with  a  recurrent 
flow  is  used,  with  the  water  at  a  temperature  of 
about  100  degrees. 

Before  using  the  above  treatment,  if  the  case  is 
a  severe  one,  massage  the  muscles  of  the  back  of  the 
neck,  as  indicated  in  figures  4  and  5.  Loosen  up  the 
muscles  of  the  upper  part  of  the  back,  as  seen  in 
figure  9. 

ECZEMA 

The  muscles  of  the  entire  back  should  be  thor- 
oughly loosened  by  deep  massage,  as  indicated  in 
figures  9,  10,  11,  12,  13,  14.  Give  deep  massage  over 
the  muscles  of  the  abdomen,  as  seen  in  figures  17, 
18.  Then  use  an  ice  bag  on  the  spine  at  the  point 
of  enervation  of  the  parts,  or  part,  where  the  trou- 
ble is  most  severe.  When  the  eczema  is  well  scat- 


94  The   Practice   of  Somapathy 

tered  over  the  whole  body  apply  the  ice  to  the  en- 
tire spine.  Massage  three  times  per  week,  but  use 
the  ice  an  hour  a  day  every  day.  In  very  severe 
cases  the  ice  should  be  used  three  times  per  day,  an 
hour  each  time. 

All  undue  exposure  to  heat  and  cold  should  be 
avoided.  The  diet  should  be  plain  and  nutritious. 
Meats  of  all  kinds,  gravies,  pastries,  cheese,  condi- 
ments and  sauces  should  be  avoided.  What  you 
eat  should  be  eaten  slowly  and  well  masticated.  Do 
not  overeat.  Leave  tea,  coffee  and  all  alcoholic 
drinks  alone.  Be  out  of  doors  in  good  weather  as 
much  as  possible. 


EMPHYSEMA 

Loosen  up  the  muscles  of  the  back,  especially  in 
the  upper  dorsal  region,  as  seen  in  illustrations  9, 
10,  11,  12,  13,  14.  Massage  the  tissues  at  the  back  of 
the  neck,  as  per  figures  4,  5.  Use  hot  water  on  the 
spine  from  the  second  to  the  tenth  dorsal  vertebra 
an  hour  every  day.  At  the  beginning  of  the  treat- 
ment every  other  day  use  cold  on  this  same  region 
of  the  spine  for  fifteen  minutes.  Use  a  hot  pack  or 
fomentation  on  the  front  and  sides  of  the  neck  for 
half  an  hour  three  times  per  week.  See  Hot  Fomen- 
tations. 


Directions  for  Treatment  95 


Use  the  ice  bag  on  the  spine  from  the  second  to 
the  tenth  dorsal  vertebra  for  thirty  minutes  every 
day.  When  the  case  is  very  severe  the  ice  bag  may 
be  used  as  much  as  an  hour  three  times  per  day. 
Use  heat  over  the  vagus  nerves  at  the  side  of  the 
neck  three  times  per  week  for  thirty  minutes  at 
each  treatment.  This  quiets  the  heart  action  by 
stimulating  the  vagus  nerve.  Massage  deeply  over 
the  abdomen  each  day,  as  per  figures  17,  18.  Keep 
the  muscles  in  the  upper  part  of  the  back  in  a  loos- 
ened condition.  See  figures  9,  10,  11,  12,  13,  14. 
The  patient  should  have  complete  rest,  both  men- 
tally as  well  as  physically.  An  ice  bag  may  be  used 
over  the  heart  an  hour  at  a  time,  with  an  intermis- 
sion of  ten  minutes.  The  diet  should  be  light  and 
liquid. 

ENDOMETRITIS 
Inflammation  of  the  Lining  of  the  Uterus 

Use  cold  over  the  lumbar  and  sacral  regions  of 
the  spine  three  times  per  day  for  an  hour.  Loosen 
up  all  the  tissues  of  the  back  in  the  same  region. 
See  figures  10,  11,  12,  13,  14.  Heat  is  used  over  the 
lower  part  of  the  abdomen.  Hot  water  douches 
should  not  be  used  to  a  great  extent,  but  a  few  will 


96  The   Practice   of  Somapathy 

be  helpful.  Keep  the  bowels  open.  It  is  well  to  be 
out  of  doors  a  great  deal,  but  a  person  suffering 
with  this  disease  should  keep  off  the  feet  as  much 
as  possible. 

ENTERITIS,  CATARRHAL 

Use  cold  over  the  lower  dorsal  and  upper  lumbar 
regions  of  the  spine  for  forty-five  minutes.  If  the 
pain  has  not  stopped  and  the  patient  is  much  better, 
after  an  intermission  of  ten  minutes,  continue  the 
use  of  the  ice  application.  When  you  find  a^  tense 
condition  of  the  tissues,  from  the  middle  dorsal  re- 
gion to  the  end  of  the  spine,  relax  them  by  the  use 
of  deep  massage,  as  indicated  in  figures  10,  11,  12, 
13.  See  also  figure  2. 

For  the  thirst  give  cracked  ice  and  cold  tea  with- 
out sugar.  Do  not  use  much  water,  because  it  tends 
further  to  loosen  the  bowels.  In  very  severe  cases 
food  should  be  withheld  for  twenty-four  hours,  and 
a  slow  return  made  to  solid  food.  The  first  foods 
partaken  of  should  consist  of  well-boiled  rice,  soit- 
boiled  eggs,  milk  and  toast  or  crackers. 

ENTEROPTOSIS 
Drooping  Viscera 

Apply  cold  and  heat  to  the  lower  dorsal  and  lum- 
bar regions  of  the  spine,  alternately,  fifteen  minutes 


Directions  for  Treatment  97 

at  a  time.    End  the  treatment  with  cold  and  let  the 
whole  treatment  last  one  hour. 

At  the  first  few  treatments  it  would  be  well  to 
apply  an  abdominal  supporter,  which  the  patient 
should  wear  for  about  ten  hours,  after  the  treat- 
ment. This  would  accustom  the  intestines  to  re- 
main in  place.  When  you  use  the  hot  and  cold  apj 
plications  massage  the  same  region  of  the  back,  as 
indicated  in  figures  10,  11,  12,  13,  14.  Lift  up  the 
intestines,  as  seen  in  figure  20.  A  case  of  this  kind 
will  do  best  treated  every  day. 

ENURESIS 

See  treatment  for  Bed  Wetting. 

EPILEPSY 

This  disease  calls  for  a  treatment  each  day.  A 
cold  application  should  be  used  at  the  base  of  the 
brain ;  water  is  to  be  preferred.  Let  this  extend 
about  half  way  down  the  neck.  At  the  same  time 
use  heat  over  the  abdomen  and  solar  plexus.  Use 
these  applications  for  thirty  minutes,  after  which 
give  a  thorough  and  deep  abdominal  massage,  as 
seen  in  figures  17,  18.  Work  over  the  solar  plexus, 
as  indicated  in  figure  19.  Loosen  the  muscles  of 
the  back  of  the  neck.  See  figures  4,  5. 


98  The  Practice   of   Somapathy 


should  be  very  particular  about  the  diet. 
Stomach  and  intestinal  indigestion  may  act  as  an 
exciting  cause  for  this  trouble,  by  allowing  the  food 
to  ferment,  causing  autointoxication  and  poisoning 
the  system.  The  diet  should  be  light  and  nutri- 
tious and  easily  digested.  Indigestible  foods  should 
be  forbidden.  See  Dyspepsia. 

In  children  look  for  adenoid  growths.  If  the 
child  is  a  male,  phimosis  may  exist,  and  adhesions 
must  be  broken  up  or  circumcision  be  performed. 
If  constipation  is  present,  that  trouble  must  be  re- 
moved by  proper  treatment.  See  Constipation. 

EPISTAXIS 
Nose  Bleed 

Use  heat  in  the  upper  dorsal  and  cervical  regions 
of  the  spine.  For  the  mechanical  treatment  of  this 
trouble  see  "  Practice  of  Osteopathy,"  the  third  edi- 
tion, by  Murray. 

ERYSIPELAS 
St.  Anthony's  Fire 

Use  cold  in  the  upper  dorsal  and  cervical  regions 
for  fifteen  minutes.  Then  heat  on  the  entire  spine 
for  thirty  minutes,  after  which  use  the  cold  in  the 


Directions  for  Treatment  99 

upper  dorsal  and  cervical  regions  for  fifteen  min- 
utes; an  hour  in  using  the  heat  and  cold  at  one 
treatment.  Relax  all  of  the  tissues  of  the  neck  by 
massaging  them.  See  figures  4,  5,  6,  7,  8.  Then 
thoroughly  loosen  the  tissues  of  the  back,  as  indi- 
cated in  figures,  9,  10,  11,  12,  13,  14.  Use  deep  mas- 
sage over  the  bowels,  as  seen  in  figures  17  and  18. 
The  bowels  should  be  made  to  move  freely,  to 
carry  off  the  poisons  generated  by  the  disease.  A 
salt  water  enema,  in  which  is  a  tablespoonful  of 
salt  to  a  quart  of  water,  will  be  helpful.  The  diet 
should  be  nutritious.  The  treatment  should  be 
given  every  day. 

EKYTHKOMiLLALGIA 
Red  Neuralgia  of  the  Feet 

Use  heat  in  the  lower  dorsal  and  lumbar  regions 
of  the  s,pine,  once  each  day  for  an  hour.  Massage 
the  tissues  of  the  lower  dorsal  and  lumbar  regions 
of  the  back,  loosening  all  of  the  tissues.  See  figures 
9,  10,  11,  12,  13,  14.  Massage  down  the  entire  limb 
and  the  affected  foot.  If  the  patient  is  constipated, 
that  trouble  should  receive  proper  attention  and 
treatment. 

Keep  the  feet  elevated  and  rest  as  much  as  is  pos- 
sible when  the  attack  is  severe.  Some  cases  ex- 


100  The  Practice  of  Somapathy 

perience  great  relief  by  putting  the  foot  in  ice  cold 
water. 

EXOPHTHALMIC  GOITER 
Graves'  Disease,  Basedow's  Disease 

Treat  this  disease  every  day  with  cold  applica- 
tions in  the  upper  dorsal  and  cervical  regions  of 
the  spine,  but  every  other  day  use  fifteen  minutes 
of  the  time  with  a  hot  water  bag  in  the  same  region 
of  the  spine  at  the  beginning  of  the  treatment. 
Loosen  the  tissues  of  the  neck  with  massage.  See 
figures  4,  5,  6,  7,  8.  Do  this  each  day.  Lift  up  the 
goiter  gently  at  each  treatment,  but  do  not  massage 
directly  over  it,  but  loosen  up  the  tissues  all  about 
it.  When  improvement  becomes  marked  treat  as 
above  three  times  per  week  or  less.  While  giving 
the  above  treatment  each  day  give  the  following 
three  times  per  week:  Loosen  up  all  the  muscles 
of  the  back,  using  the  massage,  as  indicated  in  fig- 
ures 9,  10,  11,  12,  13,  14.  Also  deeply  massage  the 
abdomen,  as  indicated  in  figures  17,  18,  and  work 
over  the  solar  plexus,  as  seen  in  figure  19. 

Press  back  the  eyeballs,  gently,  once  per  day.  If 
the  heart  beats  too  rapidly,  treat  this  symptom 
three  times  per  day,  as  in  Endocarditis,  which  see. 
A  cold  pack  may  be  placed  about  the  neck  at  night. 
See  Cold  Pack.  When  it  is  placed  on  the  neck, 


Directions  for  Treatment  101 

leave  it  there  all  night.  The  patient  should  avoid 
excitement  of  every  kind  and  should  rest  in  a  re- 
clining position  as  much  as  possible.  This  disease 
is  often  aggravated  and  sometimes  caused  by  dis- 
eases peculiar  to  women.  See  Diseases  of  Women. 
By  following  the  above  treatment  and  advice  one 
should  expect  marked  improvement  in  a  short  time. 

EYES 

When  there  is  congestion  of  the  blood  vessels 
of  the  retina  use  heat  in  the  cervical  and  upper  dor- 
sal regions  of  the  spine. 

For  drooping  of  the  eyelids,  or  ptosis,  use  cold 
in  the  upper  dorsal  and  cervical  regions  and  follow 
this  by  the  use  of  heat  in  the  same  regions  for  thirty 
minutes.  These  cases  should  be  treated  every  day. 

For  keratitis  use  cold  in  the  upper  dorsal  and  cer- 
vical region's  of  the  spine  for  an  hour  three  times 
per  day.  Keep  the  patient  from  the  light  and  use 
hot  water  applications  over  the  eye  as  hot  as  can  be 
borne.  Keep  the  eye  clean  with  a  four  per  cent 
boric  acid  solution. 

In  all  cases  where  there  is  trouble  with  the  eyes, 
loosen  the  tissues  of  the  neck  by  massaging  them, 
as  indicated  in  figures  4,  5.  Loosen  the  tissues  of 
the  upper  part  of  the  spine,  as  in  figures  9,  10,  13. 
See  Amblopia. 


102  The   Practice   of  Somapathy 

FACIAL  NEURALGIA 

Relax  by  massage  all  the  tissues  of  the  upper  doi'- 
sal  and  cervical  regions.  See  figures  4,  5,  9,  10,  11, 
12,  13.  14.  Apply  cold  over  the  regions  of  the  cervi- 
cal and  upper  dorsal.  Use  a  hot  water  bottle  di- 
rectly over  the  seat  of  the  pain. 

A  thorough,  deep  abdominal  massage  is  often  of 
assistance.  See  figures  17,  18.  The  inner  skin  of 
a  fresh  egg,  sprinkled  with  black  pepper,  applied 
locally,  will  sometimes  give  relief. 

FLUX,  BLOODY 

See  Dysentery. 

FOMENTATIONS,  HOT 

Preparations  are  made  for  giving  the  "  Hot  Fo- 
mentation Compress "  by  securing  two  pieces  of 
old  woolen  blanket,  fifteen  to  eighteen  inches 
square.  One  of  these  is  to  be  used  at  a  time,  and  is 
saturated  in  boiling  water.  That  this  piece  of  wool- 
en blanket  may  be  wrung  out  well,  so  that  no  water 
remains,  when  it  is  placed  on  the  patient,  we  use 
a  wringer.  This  wringer  is  made  by  taking  a  strong 
crash  roller  towel,  about  thirty  inches  long.  To 
the  upper  and  lower  extremities  of  this  towel,  stitch 


Directions  for  Treatment  103 

two  strong  sticks  about  two  feet  long.  Place  the 
blanket  between  the  layers  of  the  towel  and  immerse 
all  in  boiling  water,  and  remove.  Wring  as  dry  as 
possible  by  twisting  on  the  two  sticks.  Remove 
every  part  of  the  moisture,  so  that  there  will  be  no 
danger  of  burning  the  patient.  The  part  of  the  body 
of  the  patient  which  is  to  receive  the  hot  com- 
press is  well  anointed  with  olive  oil  or  vaseline. 
Place  the  prepared  compress,  directly  from  the 
wringer,  on  the  patient,  and  cover  with  another 
blanket.  The  first  compresses  may  not  be  as  hot 
as  some  applied  later,  to  accustom  the  patient  to 
the  heat. 

These  compresses  should  be  renewed  every  fif- 
teen minutes  for  an  hour,  when  the  part  should  be 
carefully  dried  and  wrapped  in  cotton  batting  or 
woolen.  As  stated  before,  there  should  be  two 
compresses  to  use,  one  after  the  other. 


GALL  BLADDER,  INFLAMMATION  OF 

See  Gall  Stones,  and  treat  in  the  same  manner. 
The  symptoms  are  about  the  same.  Some  cases  of 
inflammation  of  the  gall  bladder  have  been  diagnosed 
by  expert  surgeons  as  cases  of  gall  stones.  If  not 
properly  treated  gall  stones  will  develop  afterwards. 


104  The   Practice   of  Somapathy 

The  diet  after  an  attack  of  inflammation  should  be 
the  same  as  in  a  case  of  gall  stones. 

GALL  STONES 

Cholelithaisis 

While  the  patient  is  suffering  pain  from  the  pas- 
sage of  the  gall  stone  through  the  duct  into  the 
bowels,  use  ice  on  the  spine,  between  the  sixth  and 
twelfth  dorsal  vertebra.  Use  hot  fomentations  over 
the  liver  and  the  gall  bladder.  For  a  time  it  will  be 
best  to  treat  every  day,  and  later  three  times  per 
week,  as  follows:  Use  heat  for  fifteen  minutes,  and 
then  cold  for  the  same  length  of  time  over  the  lower 
dorsal  and  upper  lumbar  regions.  Continue  this  for 
one  hour ;  then  loosen  the  tissues  of  the  back  in  the 
entire  dorsal  and  lumbar  regions  by  massage.  See 
illustrations  9,  10,  11,  12,  13.  Gently  massage  the 
abdomen,  as  indicated  in  figures  17,  18. 

Keep  the  liver  active.  See  Cirrhosis  of  the  Liver. 
It  will  be  well  to  give  special  attention  to  the  liver. 
The  bowels  should  be  made  to  move  at  least  once 
per  day.  It  will  help  to  take  a  teaspoonful  of  the 
saturated  solution  of  sodium  phosphate,  in  a  wine- 
glass of  water,  three  times  per  day.  After  the  pa- 
tient is  better  take  it  once  per  day  for  some  time. 
When  the  disease  is  troublesome  an  enema  of  cold 


Directions  for  Treatment  105 

water  should  be  used  each  day.     Drink  plenty  of 
water  at  all  times. 

Forever  avoid  starches,  fats  and  sugars,  as  much 
as  possible,  after  an  attack.  Avoid  peas,  carrots, 
sweet  vegetables  and  sweet  fruit.  Do  not  eat  egg 
yolks,  but  fresh  green  vegetables  are  highly  recom- 
mended. Meat  may  be  eaten  once  per  day.  Cereals 
should  be  well  cooked. 

GASTRALGIA 

Use  cold  on  the  dorsal  region  from  the  fourth  to 
the  tenth  vertebra.  Use  heat  over  the  stomach, 
solar  plexus  and  abdomen.  Relax  all  the  tissues  of 
the  back  by  massaging  them.  See  illustrations  9, 
10,  11,  12,  13,  14.  Gently  massage  over  the  stom- 
ach. See  figures  17,  18.  The  diet  is  to  be  regulated 
and  the  bowels  should  be  kept  open. 

GASTRITIS 
Acute  Gastric  Catarrh 

Use  heat  over  the  vagus  nerves  in  the  neck  and 
over  the  solar  plexus.  Apply  cold,  at  the  same  time, 
to  the  dorsal  region  of  the  spine.  Use  this  treat- 
ment an  hour  each  day  until  the  patient  is  better, 
then  treat  three  times  per  week.  All  the  tissues  of 
the  back  should  be  loosened  by  massaging  them,  as 


106  The   Practice   of  Somapathy 

in  figures  9,  10,  11,  12,  13,  14.  Massage  the  bowels, 
as  indicated  in  figures  17,  18.  Work  over  the  solar 
plexus,  as  seen  in  .figure  19. 

See  that  the  bowels  move  every  day  freely.  See 
Constipation.  Take  a  cold  sponge  bath  every  day, 
followed  by  a  brisk  rub.  For  other  rules  to  follow 
as  to  diet  see  Dyspepsia. 

GENITAL  MALADIES 

When  these  are  of  chronic  nature,  in  both  male 
and  female,  use  cold  in  the  lower  dorsal  and  lumbar 
regions  of  the  spine.  Remember  that  when  you  use 
cold  here  heat  is  indicated  over  the  solar  plexus. 

Loosen  the  muscles  by  massage,  in  the  same  re- 
gion of  the  spine,  as  indicated  in  figures  10,  11,  12, 
13,  14. 

Massage  the  abdomen,  as  indicated  in  figures  17, 
18.  Tone  up  the  solar  plexus,  as  seen  in  figure  19. 
If  the  patient  is  a  lady  see  Diseases  of  Women. 

GOITER 

Big  Neck,  Bronchocele 

The  neck  should  have  the  tissues  thoroughly  re- 
laxed, both  front  and  back.  See  figures  4,  5,  6,  7, 
8.  Do  not  massage  directly  over  the  goiter,  but  lift 
it  up  a  little  at  each  treatment.  The  muscles  of 


Directions  for  Treatment  107 

the  back  should  be  relaxed,  as  indicated  in  figures  9, 

10,  11,  12,  13.    Massage  the  abdomen,  as  indicated  in 
figures  17,  18. 

Use  cold  applications  in  the  upper  dorsal  and  cer- 
vical regions  of  the  spine.  Treat  three  times  per 
week,  and  at  the  second  treatment  use  heat  in  the 
same  region  for  fifteen  minutes  at  the  beginning  of 
the  treatment.  Use  these  applications  for  one  hour 
at  each  treatment.  See  Exophthalmic  Goiter. 

GOUT 

Podagra 

Cold  should  be  used  on  the  lower  dorsal  and  lum- 
bar regions  of  the  spine  when  the  pain  is  very  se- 
vere. As  a  curative  treatment  use  cold  and  heat  in 
the  lower  dorsal  and  lumbar  regions  of  the  spine, 
alternating  each  fifteen  minutes  for  an  hour  each 
day. 

Massage  the  muscles  of  the  dorsal,  lumbar  an-1 
sacral  regions  of  the  spine,  as  seen  in  figures  9,  10, 

11,  12,  13,  14.    Use  deep  massage  over  the  abdomen, 
as  indicated  in  .figures  17,  18.     Tone  up  the  solar 
plexus,  as  seen  in  figure  19.     Massage  down  the 
limb,  foot  and  toe.     Gently  move  the  tissues  here 
to  the  bone  and  carefully  stretch  the  joint. 

Those  who  are  susceptible  to  this  disease  should 


108  The  Practice   of  Somapathy 

be  very  careful  with  their  diet.  Leave  alcohol 
alone  in  all  of  its  forms.  Lead  an  out  of  door  life, 
with  plenty  of  exercise.  Bathe  frequently.  Take 
cold  sponge  baths,  followed  by  a  vigorous  rub  with 
a  coarse  towel.  Do  not  work  too  hard,  either  men- 
tally or  physically.  Wear  flannels  next  to  the  skin 
at  all  times. 

Restrict  the  diet.  Overeating  and  drinking  and 
the  indulgence  in  rich  food,  meat  and  liquors  pre- 
dispose to  this  disease.  This  disease  calls  to  a  sim- 
ple life  and  plain  living.  Use  meat  only  once  per 
day.  Let  your  meals  consist  largely  of  vegetables. 
Buttermilk  and  sour  milk  are  excellent.  Do  not  use 
highly-seasoned  foods,  pastry  or  sweets.  When 
there  is  fever  use  milk,  farinaceous  foods  and  plenty 
of  water.  Take  a  glass  or  two  of  water  on  retiring 
at  night  and  the  same  on  rising  in  the  morning. 
Drink  lots  of  water  during  the  day.  This  is  as  good 
as  going  to  any  of  the  mineral  springs. 

GRAVES'  DISEASE 

See  Exophthalmic  Goiter. 

GRIPPE,  LA 

A  warm  bath  should  be  given  and  the  patient 
placed  in  a  warm  bed  until  the  fever  has  entirely 


Directions  for  Treatment  109 

left.  An  enema,  in  which  a  tablespoonful  of  salt 
has  been  dissolved  to  a  quart  of  water,  should  be 
given,  and  retained  for  half  an  hour  if  possible. 
Use  heat  at  the  base  of  the  skull  and  in  the  dorsal 
region  of  the  spine.  Thoroughly  loosen  the  muscles 
of  the  back  of  the  neck,  as  indicated  in  figures  4,  5. 
Massage  with  considerable  force  at  the  base  of  the 
skull.  See  figure  21.  Massage,  quite  strongly,  all 
the  muscles  of  the  entire  back.  See  figures  9,  10, 
11,  12,  13,  14.  Use  deep  massage  over  the  abdomen. 
When  the  fever  is  high  and  the  patient  is  suffering 
with  a  headache  use  an  ice  bag  on  the  head. 

When  the  patient  is  first  taken  with  this  disease 
it  would  be  well  to  treat  him:  a  couple  of  times  for 
two  days.  The  food  should  be  liquid  and  nourish- 
ing. 

HAY  FEVER 
Autumnal  Catarrh 

Begin  the  treatment  at  least  a  month  before  the 
attack  is  expected.  Use  cold  and  heat,  alternately, 
every  fifteen  minutes  for  an  hour  each  day  in  the 
cervical  and  upper  dorsal  regions  of  the  spine. 
Relax  by  massage  all  neck  tissues,  as  indicated  in 
figures  4,  5,  6,  7,  8.  Loosen  all  the  tissues  of  the 
face,  forehead  and  nose.  See  figures  23,  25,  26.  Re- 


110  The  Practice   of   Somapathy 

lax  all  muscles  of  the  upper  portion  of  the  back,  as 
seen  in  figures  9,  10,  11,  12,  13,  14;  also  those  of 
the  upper  part  of  the  chest.  Give  deep  abdominal 
massage,  as  seen  in  figures  17,  18.  Treat  three  times 
per  week. 

The  patient  should  avoid  all  overwork,  as  well  as 
all  excesses.  Rest  as  much  as  possible  and  pay  at- 
tention to  the  diet.  Do  not  overeat.  Keep  the 
bowels  and  kidneys  active.  A  cool  sponge  bath 
should  be  taken  each  morning,  followed  by  a  brisk 
rub. 


HEADACHE 
Migraine,  Cephalgia 

Massage  the  muscles  at  the  back  of  the  neck,  as 
indicated  in  figures  4,  5.  Massage  with  considerable 
force  at  the  base  of  the  skull,  as  shown  in  figure  21. 
Massage  the  upper  part  of  the  back.  See  figures  9, 
10,  11,  12,  13,  14.  Deeply  massage  the  abdomen. 
See  figures  17,  18;  also  work  over  the  solar  plexus, 
as  in  figure  19.  Press  on  the  forehead  and  massage 
over  the  midline  of  the  skull,  as  indicated  in  figures 
22,  23.  Place  an  ice  bag  on  the  head  and  use  heat 
at  the  base  of  the  brain  or  upper  part  of  the  neck. 
Should  there  be  nausea,  use  an  ice  bag  on  the  spine 
from  the  fourth  dorsal  to  the  tenth  dorsal  vertebra. 


Directions  for  Treatment  111 

The  cause  of  the  headache  should  be  found  and 
removed,  if  possible.  In  general,  persons  subject  to 
headaches  should  avoid  overexprtion,  as  becom- 
ing tired  acts  as  an  exciting  cause.  If  the  head- 
ache is  caused  by  stomach  trouble,  or  any  of  the 
diseases  peculiar  to  women,  appropriate  treatment 
should  be  given.  If  you  can  not  find  time  to  use  the 
massage  spoken  of  above,  the  hot  and  cold  appli- 
cations will  do  the  work.  But  in  that  case  use  a 
hot  mustard  foot  bath.  The  use  of  the  massage 
tends  to  a  permanent  cure,  though  treatment  should 
be  given  regularly  about  three  times  per  week  to 
effect  a  cure. 

Particular  attention  must  be  paid  to  the  stomach 
and  bowels  in  many  cases.  As  becoming  tired  in 
many  often  brings  on  an  attack,  overexertion  of 
all  kinds  should  be  avoided.  Some  cases  are  helped 
by  a  cup  of  strong,  clear  coffee.  The  use  of  drugs 
to  relieve  an  attack  of  headache  is  very  dangerous, 
but  menthol  pencils  are  used  to  rub  over  the  seat 
of  the  pain,  and  are  sometimes  found  to  be  helpful. 

HEART,  PALPITATION  OF 

Use  an  ice  bag  over  the  heart,  also  over  the  upper 
dorsal  region  of  the  spine.  Massage  the  tissues  of 
the  upper  part  of  the  back  and  neck.  See  figures 


112  The  Practice  of  Somapathy 

4,  5,  9,  10,  11,  12,  13,  14.  Use  deep  massage  over 
the  abdomen.  See  numbers  17,  18.  Do  not  use  tea, 
coffee,  alcohol  or %  tobacco.  If  the  palpitation  is 
caused  by  any  stomach  trouble,  that  must  be  treat- 
ed. If  the  palpitation  is  chronic,  treat  about  an 
hour  three  times  per  week.  See  Endocarditis,  Per- 
icarditis, Angina  Pectoris,  Tachycardia,  Brachycar- 
dia. 

HEAT  EXHAUSTION 

Place  the  patient  in  the  shade  in  a  cool  place. 
Loosen  all  clothing,  especially  about  the  neck.  If 
the  temperature  is  subnormal  give  a  warm  bath. 
Thoroughly  loosen  all  spinal  muscles.  See  figures 
9,  10,  11,  12,  13,  14.  All  of  these  movements  may 
not  be  necessary,  but  use  as  many  as  you  need  to 
relax  the  tissues.  Loosen  the  tissues  of  the  neck  by 
massage.  See  .figures  4,  o.  Deeply  massage  the  ab- 
domen. See  illustrations  17,  18.  See  Sunstroke, 
and  note  the  difference  in  the  treatment. 


HEMORRHOIDS 
Piles 

If  there  are  no  complications,  as  liver,  heart  trou- 
ble, etc.,  this  treatment  will  effect  a  cure,  but  it  will 


Directions  for  .treatment  113 

be  helpful  under  any  conditions.  Thoroughly  loos- 
en the  tissues  of  the  sacral  and  lumbar  regions  by 
deep  massage.  See  figures  10,  11,  12,  13,  14.  If  the 
patient  is  constipated,  treat  for  that  in  connection 
with  the  above  treatment.  See  Constipation.  In 
treating  this  condition  we  must  treat  and  remove 
the  underlying  cause  as  soon  as  possible.  If  con- 
stipation is  present,  this  may  be  largely  overcome 
by  the  use  of  the  proper  diet.  There  should  be  free 
daily  evacuations  of  the  bowels.  Violent  exercise 
should  be  avoided,  as  long  walks  or  heavy  lifting. 
Do  not  sit  on  damp  or  warm  seats.  Do  not  use 
highly-seasoned  food,  and  leave  alcohol  alone. 


HICCOUGH 

Loosen  the  muscles  of  the  neck,  both  front  and 
back,  as  indicated  in  figures  4,  5,  6,  7,  8.  Use  cold 
at  the  back  and  sides  of  the  neck.  In  the  milder 
forms  of  this  trouble  a  sudden  reflex  irritation  will 
cure  at  once.  A  teaspoonful  of  salt  and  lemon  juice 
has  been  recommended.  Salt  and  strong  vinegar 
will  do  as  well.  Strong  traction  on  the  tongue  may 
cure  the  case.  Be  sure  and  use  the  cold  applica- 
tion, as  directed.  Steady  traction  on  the  lower  ribs, 
thus  stretching  the  diaphragm,  will  cure  some  cases. 
See  figures  15  and  16. 


114  The  Practice   of  Somapathy 

HOT  FOMENTATIONS 

See  Fomentations,  Hot. 

HYSTERIA 

Use  cold  on  the  entire  spine  for  thirty  minutes 
each  day.  Massage  the  muscles  of  the  back,  as  in- 
dicated in  figures  9,  10,  11,  12,  13,  14.  Loosen  up 
all  the  muscles  of  the  neck  by  massaging  them.  See 
figures  4,  5,  ,6,  7,  8.  Abdominal  massage  should  be 
give.n.  See  illustrations  17,  18.  Tone  up  the  solar 
plexus,  as  in  figure  19.  Lift  up  the  abdominal  con- 
tents, as  in  figure  20. 

If  pain  should  arise  in  the  head,  spine,  abdomen, 
ovarian  region,  or  breast,  use  cold  applications.  If 
there  is  vomiting  and  nausea  use  ice  over  the  mid- 
dle dorsal  region  of  the  spine.  Treat  symptoms  as 
they  arise.  A  change  of  environment  is  helpful  in 
many  cases.  The  patient  should  be  dealt  with 
kindly,  yet  firmly.  If  possible,  persuade  the  patient 
to  exercise  self-control.  A  warm  tub  bath  twice 
per  week  and  a  cold  sponge  bath  every  morning, 
followed  by  a  brisk  rub,  will  prove  helpful.  Out- 
of-door  exercise  should  be  taken  each  day.  If  a 
child,  avoid  overstudy  under  competitive  methods. 
Avoid  overindulgence  of  every  nature.  Let  the 


Directions  for  Treatment  115 

diet  be  plain,  but  there  should  be  plenty  of  nutri- 
ment. Some  recommend  a  Neptune  girdle,  every 
other  night.  See  Neptune  Girdle. 

INDIGESTION 

See  Gastritis. 

INFANTILE  SPINAL  PARALYSIS 

In  the  early  stages  of  this  disease  use  a  spinal 
ice  bag  on  the  entire  spine.  It  keeps  down  inflam- 
mation of  the  spinal  cord.  Massage  all  the  muscles 
of  the  back  and  neck.  See  the  figures  4,  5,  9,  10,  11, 
12,  13,  14. 

After  the  inflammation  of  the  cord  has  subsided, 
use  heat  on  the  spine  for  fifteen  minutes,  then  cold 
for  the  same  length  of  time,  alternating  thus  in  the 
use  of  both  heat  and  cold  for  one  hour  at  a  treat- 
ment. Use  this  treatment  twice  per  day,  and  mas- 
sage as  above.  At  this  time  one  or  more  limbs  or 
one  or  more  groups  of  muscles  will  be  found  af- 
fected. It  will  be  well  to  massage  these  thoroughly 
once  per  day.  Keep  the  limbs  warm.  Put  them 
through  a  passive  motion  two  or  three  times  per 
day.  Friction  and  the  massage  spoken  of  above 
will  be  a  great  factor  in  keeping  up  the  circulation. 
This  will  prevent  wasting  of  the  parts  affected.  Do 


116  The  Practice  of  Somapathy 

not  use  braces  if  you  can  help  it,  for  the  circulation 
is  better  without  them.  When  there  is  a  great  deal 
of  weakness  braces  help  them  to  get  about,  and  for 
awhile  they  may  be  used  in  old  cases. 


INFLAMMATION  OF  THE  BOWELS 

Use  ice  twice  per  day,  or  oftener,  for  an  hour  at 
a  time  on  the  lower  dorsal  and  lumbar  regions  of 
the  spine.  Carefully  massage  all  the  tissues  of  the 
back.  See  figure  10.  You  can  do  considerable  work 
while  the  patient  is  lying  on  his  back.  Gently  mas- 
sage the  abdomen,  as  indicated  in  figures  17,  18. 
Use  hot  fomentations  over  the  bowels.  See  Hot 
Fomentations.  A  liquid  diet  is  best,  and  for  the 
thirst  give  cracked  ice.  If  the  patient  is  consti- 
pated give  an  enema.  Look  after  the  underlying 
cause.  Remove  this  if  possible. 

The  use  of  the  cold  on  the  spine  tends  to  inhibit 
the  nerves  that  control  the  peristalsis  of  the  bowels. 
When  you  use  the  ice  for  an  hour  this  inhibition 
of  the  nerves  may  be  continued  by  placing  a  book 
under  the  spine,  as  illustrated  in  figure  2.  Instead 
of  the  hot  fomentations  over  the  bowels  you  might 
try  an  ice  bag.  In  some  cases  the  ice  bag  seems  to 
do  better. 


Directions  for  Treatment  117 

INSOMNIA 
Sleeplessness 

Relax  all  the  tissues  of  the  back  by  massaging 
them.  See  figures  9,  10,  11,  12,  13,  14.  Loosen  up 
the  neck  muscles,  as  indicated  in  figures  4,  5.  Mas- 
sage these  thoroughly.  Give  a  deep  treatment  of 
massage  on  the  abdomen.  See  figures  17,  18.  Apply 
cold  and  then  heat  to  the  spine  for  fifteen  minutes 
each.  When  you  use  cold  on  the  spine  use  heat  on 
the  abdomen.  A  hot  water  bottle  will  do  for  this. 
After  the  above  treatment  have  the  patient  retire 
for  sleep  and  apply  a  Neptune  girdle,  after  which 
rub  the  patient's  head  for  a  while,  as  indicated  in 
figure  25.  A  patient  should  be  able  to  sleep  after 
the  above  treatment.  This  treatment  is  best  given 
at  night. 

When  this  condition  is  chronic  the  bowels  should 
be  kept  regular.  See  treatment  for  constipation. 
When  the  above  treatment  is  not  given  take  a  hot 
bath  before  retiring.  Follow  this  by  a  cool  sponge 
bath  and  it  will  be  found  beneficial.  If  you  cannot 
apply  the  Neptune  Girdle  spoken  of  above,  a  cold 
pack  may  be  placed  on  the  abdomen.  This  will  be 
used  to  the  best  advantage  at  night.  In  many  cases 
of  insomnia  but  few  treatments  will  be  required. 


118  The  Practice   of   Somapathy 

INTERCOSTAL  NEURALGIA 

Relax  all  of  the  tissues  of  the  back  in  the  dorsal 
and  upper  lumbar  regions,  as  indicated  in  figures 
1),  10,  11,  12,  13,  14.  Massage  over  the  part  be- 
tween the  ribs,  affected  by  the  pain,  to  relax  the 
tissues  there.  Apply  cold  on  the  spine  at  the  point 
from  which  the  nerves  arise  which  supply  the  af- 
fected region.  Place  a  hot  water  bag  directly  over 
the  painful  area.  In  all  such  cases  it  will  be  advis- 
able to  keep  the  bowels  open.  To  do  this  when  the 
case  is  first  seen,  give  an  enema,  in  which  a  table - 
spoonful  of  salt  to  a  quart  of  water  is  used. 

JAUNDICE 

Use  heat  on  the  spine  from  the  fourth  dorsal  to 
about  the  second  lumbar  vertebra.  In  a  severe  case 
give  this  treatment  for  an  hour  three  times  p^r 
day,  but  every  other  day  at  the  second  treatment 
use  ice  for  the  thirty  minutes  of  the  time.  Massage 
very  thoroughly  all  the  tissues  of  the  spine  in  the 
area  spoken  of  above,  as  indicated  in  figures  9,  10, 
11,  12,  13,  14.  Keep  the  liver  active  and  the  bowel:; 
loose.  See  Constipation  and  Cirrhosis  of  the  Liver. 
Massage  the  bowels,  as  in  figures  17,  18. 

It  is  advised  to  avoid  starches,  fats  and  sweets. 


Directions  for  Treatment  119 

and  do  not  use  fried  food.  Give  lemonade,  the  juice 
of  pineapples  and  oranges.  Stewed  fruits,  soft 
cooked  eggs,  and  cereals  are  excellent.  Drink  plenty 
of  water.  Sodium  phosphate  may  be  given,  as  in 
Gall  Stones,  which  see.  To  control  the  itching,  use 
talcum  powder  or  powdered  starch,  or  sponge  with 
a  warm  solution  of  baking  soda. 


.      JOINT  AFFECTIONS 

When  the  joints  are  affected  with  tuberculosis 
do  not  massage  them,  but  apply  heat  over  the  joint 
and  cold  at  the  center  of  the  nerve  supply  on  the 
spine.  Massage  near  the  joints,  but  not  directly  on 
them.  Use  this  treatment  twice  per  day,  an  hour 
at  a  time.  A  good,  nourishing  diet  is  required.  See 
the  article  on  consumption  of  the  lungs.  The  pa- 
tient should  exercise  moderately,  but  rest  as  much 
as  he  can. 

In  case  the  joint  is  affected  from  an  old  case  or 
rheumatism,  but  the  pain  has  now  left,  you  may 
hot  applications  on  it.  For  further  information  on 
it.  For  a  stiff  joint,  massage,  manipulate  and  use. 
hot  applications  on  it.  For  further  information  on 
joint  affections  see  "  Practice  of  Osteopathy,"  the 
third  edition,  by  C.  H.  Murray. 


120  The   Practice   of  Somapathy 

KERATITIS 
Also  Other  Inflammations  of  the  Cornea 

For  this  disease,  or  any  other  inflammation  of  the 
cornea  or  of  any  part  of  the  eye,  use  cold  in  the  up- 
per dorsal  and  cervical  regions  of  the  spine.  Use 
hot  water  applications  over  the  eye.  See  Hot  Fo- 
mentations. If  a  very  bad  case  it  may  be  neces- 
sary to  keep  this  hot  application  on  the  eye  most  of 
the  time,  but  do  not  use  the  cold  more  than  an  hour 
at  a  time  three  times  per  day.  See  Treatment  for 
the  Eyes. 

KIDNEY,  CONGESTION  OF 

An  ice  bag  may  be  used  over  the  upper  bowels  and 
a  hot  water  bottle  over  the  lower  dorsal  and  upper 
lumbar  regions  of  the  spine.  This  heat  may  be  ap- 
plied an  hour  at  a  time,  three  times  or  oftener  a 
day,  but  the  cold  should  be  used  only  one  hour  per 
day. 

Loosen  the  tissues  of  the  spine  by  massage,  as 
indicated  in  figures  9,  10,  11,  12,  13,  14,  or  as  many 
of  these  movements  as  may  seem  necessary.  Give 
deep  massage  over  the  bowels,  as  seen  in  figures  17, 
18.  Warm  salt  water  enemas  are  indicated,  in  which 
use  a  tablespoonful  of  salt  to  a  quart  of  water. 


Directions  for  Treatment  121 

Keep  the  skin  active  by  the  use  of  hot  tub  baths 
and  hot  packs.     See  Hot  Packs. 


KIDNEYS,    INFLAMMATION    OF 

See  Bright's  Disease. 

LA  GRIPPE 

See  Grippe. 

LARYNGITIS 

All  of  the  tissues  of  the  neck  must  be  thoroughly 
relaxed.  See  figures  4,  5,  6,  7,  8.  Use  as  many  of 
these  manipulations  of  massage  as  may  be  necessary 
to  accomplish  the  purpose.  Massage  the  tissues  of 
the  upper  part  of  the  chest.  Those  of  the  back 
may  be  loosened,  as  indicated  by  figures  9,  10,  11, 
12,  13,  14.  Use  cold  water,  not  ice,  on  the  back  of 
the  neck  and  a  hot  water  bag  on  the  front  of  the 
neck.  Be  sure  that  the  bowels  are  kept  open.  A 
salt  water  enema  will  work  well,  in  which  a  table- 
spoonful  of  salt  is  used  to  a  quart  of  water.  Treat 
twice  a  day  until  the  case  becomes  better. 


122  The   Practice   of   Somapathy 

LARYNGITIS  STRIDULUS 
False  Croup 

Treat  as  in  laryngitis  and  pay  particular  attention 
to  the  front  part  of  the  throat.  A  hot  water  bag, 
placed  in  the  upper  dorsal  region  of  the  back,  and 
the  finger  inserted  into  the  throat  of  the  patient, 
and  thus  tickling  the  fauces,  the  patient  may  be 
made  to  vomit,  which  will  be  helpful.  A  warm 
bath  will  assist  in  breaking  up  the  spasm.  Give  a 
cold  sponge  bath  daily. 


Use  cold  each  day  for  thirty  minutes  to  an  hour 
in  the  lower  dorsal  and  lumbar  regions  of  the  spine. 
Loosen  up  all  of  the  tissues  of  the  back,  from  the 
middle  dorsal  region  to  the  end  of  the  spine.  See 
figures  10,  11,  12,  13,  14.  Do  not  worry  or  exert 
yourself  too  much.  Keep  off  the  feet  as  much  as 
possible.  Use  douches  only  as  a  cleansing  agent. 


LIVER,  CIRRHOSIS  OF 

See  Cirrhosis. 


Directions  for  Treatment  123 

LIVER,  CONGESTION  OF 

Rest  in  bed.  Drink  plenty  of  water  and  sour 
lemonade.  Use  enemas,  in  which  there  is  a  table- 
spoonful  of  salt  to  a  quart  of  water.  Alternate  in 

* 

the  use  of  heat  and  cold,  fifteen  minutes  for  each, 
for  an  hour,  on  the  spine  from  the  sixth  dorsal  to 
the  second  lumbar  vertebra.  Treat  in  this  manner 
twice  per  day.  Once  a  day  massage  all  the  muscles 
of  the  back,  as  indicated  in  figures  9,  10,  11,  12,  13, 
14.  Deeply  massage  the  abdomen,  as  seen  in  fig- 
ures 17,  18.  Stimulate  the  solar  plexus,  as  in  figure 
19.  Use  a  liquid  diet  and  do  not  eat  too  much.  In 
case  the  congestion  is  passive,  not  caused  by  con- 
tinuous overeating,  but  by  some  other  disease,  we 
treat  mostly  as  above,  and  treat  the  underlying 
cause. 


LOBAR  PNEUMONIA 

The  best  of  results  will  be  obtained  by  the  use 
of  cold  compresses.  They  should  be  rather  moist. 
Leave  each  compress  on  the  patient  until  the  com- 
press begins  to  become  warm.  See  Cold  Com- 
press. When  each  compress  is  removed  a  dash  of 
cold  water  on  the  chest  will  tone  up  the  patient.  If 
there  is  excitability  and  insomnia,  a  higher  temper- 


121  The   Practice   of   Somapathy 

attire"  than  60  degrees  may  be  employed  for  the 
compress. 

Turn  the  patient  on  the  sound  side  and  loosen  all 
the  muscles  of  the  back,  as  indicated  in  figures  10, 
14.  When  the  patient  is  lying  on  his  back,  massage 
the  neck,  both  front  and  back,  as  seen  in  figures  4, 
5,  6,  7,  8.  Give  deep  massage  over  the  abdomen, 
as  seen  in  figures  17,  18.  This  will  call  the  blood 
there  away  from  the  lungs.  Give  some  massage 
over  the  chest  to  relax  the  muscles  there.  All  of 
this  treatment  should  be  moderate  in  strength  when 
the  patient  is  weak.  It  should  be  given  twice  per 
day.  Dr.  Osier,  the  greatest  medical  authority, 
says  that  there  is  no  specific  treatment  for  this  dis- 
ease, and  cautions  medical  doctors  and  others,  that 
patients  are  more  often  damaged  than  helped  by 
the  promiscuous  drugging  that  is  only  too  preva- 
lent. When  the  symptoms  of  pneumonia  are  first 
present  it  will  be  best  to  give  a  warm-water  enema, 
in  which  a  tablespoonful  of  salt  is  dissolved  to  a 
quart  of  the  water;  also  a  warm  mustard  foot  bath. 

When  the  patient  is  weakened  and  the  heart  is  in 
the  same  condition,  good  whiskey  may  be  given  at 
intervals  during  the  day.  It  is  both  a  food  and  a 
stimulant,  and  if  necessary  from  one-fourth  to  a 
pint  may  be  given  in  one  day.  It  must  be  given  to 
those  who  have  been  drinking  it  prior  to  the  attack 


Directions  for  Treatment  125 

of  this  disease.  The  cold  compress  spoken  of  above 
is  splendid  in  its  efficacy.  When  the  temperature  is 
102  degrees  F.  or  above  it  should  be  applied  every 
half  hour.  When  the  temperature  is  below  that 
point  every  hour  will  be  sufficient.  The  compresses 
should  be  discontinued  when  the  temperature  is  at 


This  compress  should  consist  of  three  layers, 
when  applied,  of  old  linen,  cut  in  such  a  manner 
that  it  will  .fit  the  entire  chest,  both  front  and  back, 
from  the  neck  and  over  the  shoulders  and  down  to 
the  umbilicus. 

The  diet  should  be  nourishing,  and  should  con- 
sist largely  of  milk,  soft-boiled  eggs,  meat  juices  and 
egg  albumen.  Give  plenty  of  water,  lemonade  and 
soda  water. 

LOCK  JAW 

Tetanus 

The  patient  should  be  kept  as  quiet  as  possible 
in  bed.  A  darkened  room  is  to  be  preferred.  An  ice 
bag  should  be  used  on  the  entire  spine  almost  con- 
tinuously until  the  patient  is  out  of  danger.  The 
patient  should  be  sustained  in  every  manner  possi- 
ble by  whiskey,  brandy  and  nourishing  food.  Any 
wound,  as  puncture  from  a  nail  or  injury  from  a  toy 


126  The  Practice   of  Somapathy 

pistol,  should  receive  prompt  attention,  as  such 
wounds  often  lead  to  this  disease.  They  should  be 
incised  or  curetted  and  treated  with  carbolic  acid 
or  some  other  good  germicide.  A  surgeon's  care 
is  the  safest  plan  for  any  such  wound. 


LOCOMOTOR  ATAXIA 

Use  the  ice  bag  on  the  entire  spine,  and  alternate 
every  fifteen  minutes  with  the  use  of  the  hot  water 
bag  for  an  hour.  Give  this  treatment  daily.  It  will 
promote  circulation  in  the  spinal  cord.  After  the 
use  of  this  treatment  carefully  massage  all  the  mus- 
cles of  the  back,  as  indicated  in  figures  9,  10,  11, 
12,  13,  14.  Use  as  many  of  these  movements  as  may 
be  necessary  to  make  the  tissues  pliable.  Loosen 
up  the  muscles  of  the  neck,  as  in  figures  4,  5.  The 
abdomen  is  to  be  massaged,  as  indicated -in  figures 
17,  18.  Tone  up  the  solar  plexus.  See  figure  19. 
When  you  use  ice  on  the  spine  use  heat  over  the 
solar  plexus. 

The  lower  limbs  should  be  carefully  massaged 
each  day  and  the  cold  and  hot  treatment  given  daily. 
The  body  massage  should  be  given  three  times  per 
week. 

The  ataxia  may  be  overcome  in  part  by  continued 
practice  of  fine  movements.  Some  of  these  may  be 


Directions  for  Treatment  12 


executed  by  the  patient  with  the  limbs  as  he  lies  on 
his  back.  This  serves  to  educate  nerve  centers. 
While  we  can  not  promise  much,  as  far  as  a  cure  is 
concerned,  most  cases  will  be  helped  by  this  treat- 
ment. The  earlier  the  treatment  is  begun  the  bet- 
ter. In  many  cases  the  progress  of  the  disease  may 
be  checked.  The  control  of  the  bladder  and  rectum 
may  be  regained,  and  the  power  of  walking  regained 
after  it  has  been  lost.  A  long  course  of  treatment 
is  necessary  in  most  cases.  When  the  lightning 
pains  are  present,  use  the  cold  application  on  the 
spine. 


LUMBAGO 

The  muscles  of  the  entire  back  should  be  thor- 
oughly massaged,  as  indicated  in  figures  9,  10,  11, 
12,  13,  14.  Use  as  many  of  these  movements  as  may 
be  necessary.  Apply  cold  to  the  lower  dorsal  and 
lumbar  regions  of  the  spine.  Use  this  cold  for  fif- 
teen minutes,  then  heat  in  the  same  regions  for  the 
same  length  of  time  and  the  cold  for  thirty  minutes. 
It  often  helps  a  case  of  this  kind  to  apply  heavy, 
steady  pressure  to  the  spine  when  the  patient  is  in 
the  ventral  prone  position.  See  "  Practice  of  Oste- 
opathy," the  third  edition,  by  Murray,  page  353. 


128  The  Practice   of  Somapathy 

LUNGS,  CONGESTION  OF 

Whether  this  trouble  is  the  active  or  passive 
form,  that  is  caused  by  overexertion  or  exposure  to 
the  extremes  of  heat  and  cold,  or  caused  by  some 
form  of  heart  trouble  or  continued  lying  on  the 
back,  the  following  treatment  will  relieve  at  once: 
Relax  all  of  the  tissues  of  the  dorsal  region  of  the 
spine,  as  indicated  in  figures  9,  10,  11,  12,  13,  14. 
Loosen  the  neck  muscles  both  front  and  back.  See 
figures  4,  5,  6,  7,  8.  Relax  all  of  the  tissues  of  the 
chest,  especial  attention  being  given  to  the  muscles 
between  the  ribs.  To  draw  the  blood  away  from  the 
lungs  to  the  abdomen  massage  the  latter,  as  seen 
in  figures  17,  18. 

Apply  the  hot  water  bottle  to  the  upper  dorsal 
region  of  the  spine.  Immediate  relief  may  be  ex- 
pected. 

MALARIAL  FEVER 

Use  cold  and  then  heat  on  the  entire  spine.  Use 
each  about  twenty  minutes.  When  the  cold  is  used 
the  hot  water  bottle  should  be  applied  to  the  solar 
plexus.  Until  this  trouble  is  much  better  it  should 
be  treated  twice  a  day.  If  the  patient  has  a  chill, 
and  you  know  it  is  coming  on,  you  should  appty 
cold  to  the  entire  spine  and  heat  to  the  solar  plexus 


Directions  for  Treatment  129 

Treat  in  this  manner  if  the  patient  has  a  chill.  For 
this  disease  massage  the  muscles  of  the  entire  back, 
as  seen  in  figures  9,  10,  11,  12,  13,  14.  Loosen  np 
the  muscles  of  the  neck,  as  in  figures  4,  5.  Deeply 
massage  the  abdomen,  as  indicated  in  figures  17,  IS. 


MENINGITIS,  CEREBRO  SPINAL 

Use  an  ice  bag,  or  better,  use  an  ice  coil  on  the 
head.  Apply  warm  mustard  foot  baths.  Place  an 
ice  bag  on  the  spine  twice  per  day,  and  use  a  cold 
sponge  bath  for  the  rest  of  the  body.  In  case  of 
vomiting,  place  an  ice  bag  on  the  dorsal  region  of 
the  spine.  An  enema  of  salt  water  should  be  taken 
every  day,  in  which  a  tablespoonful  of  salt  is  dis- 
solved to  each  quart  of  water.  Persistently  and 
gently  loosen  all  the  muscles  of  the  back.  See  fig- 
ures 9,  10,  11,  12,  13,  14.  Deep  massage  should  be 
used  over  the  abdomen,  as  indicated  in  figures  17, 
18.  Loosen  the  tissues  at  the  back  of  the  neck,  as 
seen  in  figures  4,  5. 

Let  the  food  be  liquid  or  semi-fluid  and  nour- 
ishing. Have  the  sick-room  quiet  and  darkened. 
Favorable  symptoms  of  the  disease  are  when  the 
temperature  falls,  muscles  become  much  less  rigid 
and  intelligence  returns. 


130  The  Practice   of  Somapathy 

MIGRAINE 

Massage  with  heavy  pressure  the  tissues  at  the 
base  of  the  brain;  also  the  muscles  of  the  back  of 
the  neck.  See  figures  4,  5.  Massage  the  upper  part 
of  the  back,  as  indicated  by  figures  9,  10,  11,  12,  13, 
14.  Use  deep  massage  over  the  abdomen,  as  seen  in 
figures  17,  18.  Work  over  the  solar  plexus,  as  per 
figure  19.  Use  pressure  on  the  forehead  and  work 
over  the  midline  of  the  skull,  as  in  figures  22,  2o. 
Use  heat  at  the  junction  of  the  neck  and  head  and 
place  an  ice  bag  on  the  head.  Nausea  is  often  pres- 
ent. For  this  use  ice  on  the  upper  dorsal  region  of 
the  spine. 

MENORRHAGIA 
Profuse  Menstrual  Flow 

This  trouble  is  best  treated  by  the  use  of  heat 
in  the  lower  dorsal,  lumbar  and  sacral  regions  of 
the  spine.  This  should  be  used  each  day.  Massage 
the  muscles  of  the  spine  in  the  same  regions,  se- 
verely, as  seen  in  10,  11,  12,  13.  Elevate  the  foot 
of  the  bed  about  two  inches.  Keep  the  patient  free, 
from  care,  worry  and  excitement.  Exclude  all  vis- 
itors. Should  the  patient  be  suffering  from  anv 
blood  disease,  or  any  trouble  that  interferes  with 


Directions  for  Treatment  131 

its  coagulability,  this  condition  should  receive  spe- 
cial  attention. 

METRITIS 

Inflammation  of  the  Body  of  the  Uterus 

Cold  should  be  applied  over  the  lumbar  and  sa- 
cral regions  of  the  spine  an  hour  three  times  per 
day.  All  of  the  muscles  of  the  back  should  be  thor- 
oughly loosened  in  these  same  regions.  See  figures 
10,  11,  12,  13,  14.  Apply  a  hot  water  bath  over  the 
lower  part  of  the  abdomen.  Keep  the  bowels  open. 
It  will  be  well  to  use  an  occasional  hot  water  ene- 
ma, in  which  a  tablespoonful  of  salt  is  used  to  a 
quart  of  water.  Use  douches  only  for  the  purpose 
of  cleanliness.  Do  not  be  very  much  on  the  feet, 
but  to  be  out  of  doors  is  a  good  thing. 

MUSCULAR  RHEUMATISM 

Place  a  cold  application  on  the  spine,  where  the 
nerve  centers  are  located  which  supply  the  nerve 
force  to  the  part  of  the  body  where  the  pain  is  lo- 
cated. When  the  pain  is  well  under  control,  heat 
and  cold  may  be  used  on  the  entire  spine,  alter- 
nately, fifteen  minutes  at  a  time  for  an  hour,  using 
the  cold  last.  Hot  fomentations  or  cold  compresses 
may  be  used  directly  over  the  muscles  affected. 


132  The   Practice   of   Somapathy 

Massage  is  splendid  to  use  on  the  parts  affected. 
Also  massage  the  entire  back,  as  seen  in  figures  9, 
10,  11,  12,  13,  14.  See  Articular  Rheumatism. 


MYOCARDITIS 

Inflammation  of  the  Heart  Muscle 
An  ice  bag  should  be  used  on  the  spine,  from  the 
second  dorsal  to  the  tenth  dorsal  vertebra.  This 
should  be  used  thirty  minutes  each  day.  If  the  case 
is  a  severe  one  the  cold  should  be  used  an  hour  at 
a  time,  three  times  per  day.  Use  a  hot  fomentation 
over  the  vagus  nerve  at  the  side  of  the  neck.  Keep 
the  muscles  of  the  back  loosened  up,  as  seen  in  fig- 
ures 9,  10,  11,  12,  13,  14.  Massage  deeply  over  the 
abdomen,  as  in  figures  17,  18.  An  ice  bag  may  be 
used  directly  over  the  heart  an  hour  at  a  time,  with 
intermissions  of  ten  minutes.  The  diet  must  be 
light. 

NEPHRITIS 

See  Bright's   Disease,  both   Acute  and   Chronic. 

NEPTUNE   GIRDLE 

This  girdle  consists  of  a  bandage  of  old  coarse 
linen,  large  enough  to  cover  the  entire  lower  part 


Directions  for  Treatment  133 

of  the  trunk,  from  the  ensiform  cartilage  to  the 
pubes,  and  long  enough  to  reach  round  the  trunk 
and  enough  to  lap  over  and  afford  two  thicknesses 
of  the  linen  for  the  abdomen.  This  is  wrung  out 
of  water  at  a  temperature  of  60  to  70  degrees  F. 
It  is  then  wrapped  about  the  body  so  that  the  abdo- 
men has  a  double  covering  of  the  material.  It  is 
then  covered  by  another  linen  or  flannel  bandage, 
and  the  whole  secured  with  safety  pins.  When 
these  bandages  are  worn  twenty-four  hours  they 
are  changed  three  times  in  that  period,  and  that 
part  of  the  body  washed  with  cold  water  each  time 
before  a  fresh  girdle  is  applied. 

It  will  be  best  to  boil  each  of  these  girdles  used, 
for  fifteen  minutes  once  each  day,  while  they  are 
in  use.  This  will  prevent  boils  or  other  unfavorable 
circumstances  occasioned  by  septic  formations. 


NEURALGIA 

The  use  of  cold  over  the  spine-  at  the  point  of 
enervation  of  the  part  affected  is  recommended. 
Use  heat  directly  over  the  pain.  Massage  the  part 
affected  so  as  to  loosen  up  all  the  tissues  and  allow 
the  free  circulation  of  the  blood  and  other  vital 
fluids.  See  Facial  Neuralgia,  Intercostal  Neuralgia, 
Lumbago,  Tic  Douloureux. 


134  The   Practice   of  Somapathy 

NEURASTHENIA 

A  gentle  general  massage  treatment  is  to  be  given 
each  day  for  two  weeks,  and  longer  if  the  case  is  a 
severe  one.  Then  give  the  treatment  three  times 
per  week,  reducing  to  one  as  the  patient  improves. 
Apply  heat  and  then  cold  to  the  entire  spine  for  fif- 
teen minutes  each  time  treatment  is  given,  once  per 
day.  When  you  treat  only  three  times  per  week  in- 
.crease  the  length  of  time  for  the  use  of  the  heat  and 
cold  to  thirty  minutes  for  each. 

Have  the  patient  take  a  warm  bath  twice  per 
week  at  night,  and  a  cold  sponge  bath,  followed 
by  a  brisk  rubbing  with  a  coarse  towel,  every  morn- 
ing. The  patient  should  have  plenty  of  rest  and 
good,  nourishing  food.  The  treatment  must  be  ad- 
ministered for  a  long  time.  If  there  are  any  other 
diseases  which  cause  this  trouble  they  must  have 
the  proper  treatment.  Indigestion,  gout,  rheuma- 
tism, la  grippe  and  malaria  are  often  forerunners. 
Do  not  use  alcohol,  tea,  coffee  or  tobacco. 

NOSE  BLEED 

Use  heat  in  the  upper  dorsal  and  cervical  regions 
of  the  spine.  In  case  the  bleeding  is  obstinate,  hot 
or  cold  water  may  be  injected  into  the  nose  and 
the  hands  of  the  patient  held  above  his  head.  Of 


Directions  for  Treatment  135 

course   most   cases   are   very   simple   and   will   stop 
themselves. 


OBESITY 
Corpulence 

A  hot  water  bag  may  be  used  on  the  entire  spine 
three  times  per  day.  If  not  convenient  to  do  this 
that  often,  use  the  heat  as  often  as  possible.  Three 
times  a  week  thoroughly  massage  the  tissues  of  the 
back,  as  indicated  in  figures  9,  10,  11,  12,  13,  11. 
Deeply  massage  the  abdomen,  as  seen  in  figures  17, 
18.  Massage  the  front  of  the  neck,  as  per  figures 
4,  6,  8.  Massage  over  all  deposits  of  fat  with  vigor, 
as  it  tends  to  absorption  when  treated  in  that  man- 
ner. 

The  diet  should  be  greatly  restricted.  Do  not  use 
starches,  fats  nor  sweets.  Restrict  the  drinking  of 
water,  and  do  not  touch  alcoholic  drinks.  In  using 
the  above  treatment  it  will  be  found  that  the  fol- 
lowing diet  will  work  well  where  you  wish  to  re- 
duce a  great  deal :  For  breakfast  and  supper,  one 
soft-boiled  egg  and  one  piece  of  toast,  and  the 
same  for  dinner,  with  the  addition  of  some  green 
vegetable  that  grows  above  the  ground. 

In  some  cases  very  good  results  may  be  obtained 
by  the  treatment  as  outlined  above,  when  it  is  con- 


136  The  Practice   of  Somapathy 

tinued  for  some  time  with  regularity  without  very 
much  restriction  on  the  diet.  But  a  person  will  im- 
prove much  faster  by  restricting  the  diet.  After 
the  diet  has  been  restricted  for  some  time  most  per- 
sons never  wish  to  return  to  the  old  manner  of  eat- 
ing. They  feel  better  without  eating  so  much,  and 
are  really  much  healthier.  They  are  able  to  do 
more  and  better  work,  both  physically  and  mentally. 


OVARIES 
Inflammation  Of 

Carefully  relax  all  the  tissues  of  the  back,  from 
the  middle  dorsal  region  of  the  back  to  and  includ- 
ing the  sacral  region.  See  figures  10,  11,  12,  13,  14. 
Massage  the  lower  abdomen  carefully  and  lift  up 
the  abdominal  contents.  See  figures  17,  18,  20. 

Place  an  ice  bag  on  the  spine  on  the  lower  dorsal 
lumbar  and  sacral  regions ;  also  place  a  hot  water 
bottle  on  the  lower  part  of  the  abdomen.  Should 
there  be  much  nausea  or  vomiting,  place  an  ice  bag 
on  the  upper  dorsal  region  of  the  spine.  The  ova- 
ries are  much  subject  to  congestion  at  the  menstrual 
period.  Rest  is  to  be  advised. 


Directions  for  Treatment  13? 

PARALYSIS  AGITANS 
Shaking  Palsy 

In  this  disease  we  use  cold  over  the  entire  spine, 
but  we  begin  each  treatment  for  about  fifteen  min- 
utes with  the  application  of  the  hot  water  bag.  The 
cold  is  then  used  forty-five  minutes  per  treatment. 
If  at  all  possible  we  treat  three  times  per  day,  as 
above.  Massage  is  used  once  per  day  in  overcom- 
ing the  rigid  muscles.  Relax  all  the  tissues  of  the 
back,  as  indicated  in  figures  9,  10,  11,  12,  13,  14. 
Massage  the  back  of  the  neck,  as  in  figures  4,  5. 
Work  over  the  abdomen,  as  seen  in  figures  17,  18. 
The  muscles  of  the  limbs  should  also  be  loosened  up 
by  massaging  them. 

We  can  not  hope  to  offer  a  complete  cure  in  this 
disease,  but  its  ravages  may  be  stayed  and  consid 
erable  help  given.  Keep  the  kidneys  and  bowels 
active.  Give  salt  baths  twice  per  week.  The  pa- 
tient should  take  regular  exercise,  but  should  stop 
before  becoming  very  tired. 

PARALYSIS 

Alternate  in  the  use  of  heat  and  cold  on  the  entire 
spine  every  fifteen  minutes  for  an  hour  twice  per 
day.  Keep  up  the  circulation  in  the  limbs  by  mas- 
sage once  per  day,  but  as  the  case  becomes  better 


138  The  Practice   of  Somapathy 

massage  only  three  times  per  week.  When  the 
massage  treatment  is  given,  go  over  all  the  tissues 
of  the  back,  as  seen  in  numbers  9,  10,  11,  12,  13,  li. 
Work  over  the  abdomen,  as  in  figures  17,  18.  The 
back  of  the  neck  should  be  massaged,  as  in  figures 
4,5. 

The  general  health  should  be  well  looked  after, 
for  a  favorable  prognosis  of  the  disease  depends  a 
great  deal  on  this.  Keep  the  bowels,  liver,  kidneys 
and  skin  active.  Give  a  warm  bath  twice  per  week. 
Have  the  patient  exercise  regularly,  but  do  not 
overdo  it.  Some  light  occupation  in  which  the  mind 
may  be  used  will  prove  helpful  in  many  cases. 

The  worst  of  cases  frequently  improve  under  this 
treatment,  and  ordinary  cases  return  to  health. 

PERICARDITIS 

The  action  of  the  heart  needs  to  be  quieted.  Rest 
is  imperative.  Use  cold  over  the  spine  from  the 
sixth  cervical  to  the  sixth  dorsal  vertebra.  Use 
this  treatment  twice  per  day  for  thirty  minutes. 
An  ice  bag,  placed  directly  over  the  heart  for  an 
hour  at  a  time,  will  be  very  helpful.  Heat  may  be 
placed  over  the  vagus  nerves  in  the  neck  for  thirty 
minutes,  three  or  four  times  per  week.  This  quiets 
the  heart.  Massage  deeply  over  the  abdomen  each 


Directions  for  Treatment  139 

day,  as  indicated  by  figures  17,  18,  and  keep  the 
tissues  of  the  upper  part  of  the  back  well  loosened 
up.  See  figures  9,  10,  11,  12,  13,  14.  Avoid  excite- 
ment of  every  nature,  and  attend  to  the  general 
health.  Keep  the  bowels,  liver  and  kidneys  active. 

PERITONITIS 

Carefully  relax  all  the  tissues  of  the  back,  below 
the  middle  dorsal  regions,  as  indicated  in  figures  10, 
11,  12,  13,  14.  Massage  very  gently  and  carefully 
over  the  abdomen.  See  figures  17,  18.  Apply  ice 
twice  per  day  for  an  hour  each  time  to  the  lower 
dorsal,  lumbar  and  sacral  regions  of  the  spine.  Use 
hot  fomentations  over  the  bowels.  See  Hot  Fomen- 
tations. If  there  should  be  any  constipation  pres- 
ent use  an  enema.  For  the  thirst  use  cracked  ice. 
The  diet  should  be  liquid  or  semi-liquid  and  nour- 
ishing. 

PERNICIOUS  ANEMIA 

Progressive 

Apply  heat  and  then  cold  to  the  entire  spine,  al- 
ternately, fifteen  minutes  at  a  time  for  an  hour. 
Treat  two  or  three  times  per  day.  Massage  the 
entire  body  once  every  day.  For  the  rest  of  the 
treatment  see  Anemia,  and  follow  the  directions 
found  there. 


1-10  The   Practice   of  Somapathy 

PHARYNGITIS 

Relax  all  tissues  of  the  neck,  both  front  and  back, 
as  indicated  in  figures  4,  5,  6,  7,  8.  Massage  the 
muscles  of  the  upper  dorsal  region,  as  seen  in  fig- 
ures 1),  10,  11,  12,  13,  14.  Massage  over  the  bowels. 
See  figures  17,  18.  Use  a  cold  compress  on  the 
throat  and  give  a  hot  mustard  foot  bath.  Give  a 
salt  water  enema  to  keep  the  bowels  open.  If  ex- 
cessive smoking  has  anything  to  do  with  the  case, 
stop  smoking.  Do  not  use  liquors.  In  case  the  dis- 
ease has  become  chronic  the  general  health  should 
be  built  up.  Exposure  should  be  avoided.  If  the 
trouble  is  caused  by  the  improper  use  of  the  voice, 
the  patient  must  learn  to  use  the  voice  properly. 
Clergymen  can  often  improve  on  the  manner  in 
which  they  use  their  voice.  A  failure  to  do  so 
often  leads  to  this  disease,  which  is  then  called 
clergymen's  sore  throat. 

PHLEBITIS 

Use  a  cold  compress  over  the  inflamed  vein  for 
an  hour  three  times  per  day.  On  alternate  days  for 
the  second  treatment  apply  a  hot  fomentation. 
Gently  massage  the  tissues  near  the  vein  once  per 
day,  but  do  not  work  directly  over  the  vein.  Ele- 
vate the  part  affected  and  rest.  Most  cases  occur 


Directions  for  Treatment  141 

in  the  lower  limbs,  when  it  will  be  well  to  massage 
the  tissues  of  the  back  in  the  lower  dorsal,  lumbar 
and  sacral  regions,  as  indicated  in  figures  10,  11,  12, 
13,  14.  The  bowels  should  be  kept  active  by  the 
use  of  salt-water  enemas.  The  diet  must  be  light. 
Some  cases  last  for  a  month  or  six  weeks. 

PILES 

See   Hemorrhoids. 

PLEURISY 

Use  heat  over  the  upper  dorsal  and  cervical  re- 
gions of  the  spine.  Apply  a  cold  compress  over  the 
seat  of  the  pain.  Thoroughly  relax  by  massage  all 
of  the  tissues  of  the  neck,  as  seen  in  figures  4,  5,  6, 
7,  8.  Loosen  up  the  muscles  of  the  back.  See  fig- 
ures 9,  10,  11,  12,  13,  14.  The  abdomen  should  be 
well  massaged,  as  seen  in  figures  17,  18.  Give  the 
above  treatment  daily.  Use  the  heat  and  cold  three 
times  daily.  If  the  case  is  chronic,  about  three 
times  per  week  will  be  sufficient  for  the  massage, 
and  once  per  day  for  the  use  of  the  heat  and  cold. 
Be  sure  and  keep  the  bowels  open. 

PNEUMONIA 

See  Lobar  Pneumonia. 


142  The  Practice   of  Somapathy 

PULMONARY  HEMORRHAGE 

Use  heat  in  the  upper  dorsal  and  cervical  regions 
of  the  spine.  Keep  quiet  for  a  time.  Every  case 
of  this  should  be  regarded  as  Consumption  of  the 
TJungs,  which  see. 

PURGING 

Use  cold  in  the  lower  dorsal  and  lumbar  regions 
of  the  spine.  Loosen  up  the  tissues  of  the  back, 
from  the  middle  dorsal  region  of  the  spine  to  the 
sacral  region,  as  indicated  by  figures  10,  11,  12,  13, 
14.  Rest  in  bed  and  use  a  light  liquid  diet.  If 
thirsty  take  cracked  ice. 


PURITUS 

Apply  ice  for  an  hour  each  day  to  the  lumbar  and 
sacral  regions  of  the  spine.  Be  certain  that  the  parts 
are  kept  absolutely  clean.  Loosen  the  muscles  of 
the  lumbar  and  sacral  regions  of  the  spine  by  mas- 
sage. See  figures  10,  11,  12,  13,  14.  This  is  to  be 
given  three  times  per  week.  For  palliative  relief 
a  two  per  cent  carbolic  acid  poultice  may  be  used. 

QUINSY 

This  often  begins  as  a  case  of  tonsillitis,  and  if 
treated  promptly,  as  that  disease,  it  will  not  come 
to  the  stage  of  quinsy.  See  Tonsillitis. 


Directions  for  Treatment  143 

RED  NEURALGIA  OF  THE  FEET 

See  Erythromelalgia. 

RETINA 
Congestion  of  Blood  Vessels 

Use  heat  in  the  cervical  and  upper  dorsal  regions 
of  the  spine.  See  Eye. 

RHEUMATIC   GOUT 

Use  heat  and  then  cold  for  half  an  hour  each  on 
the  dorsal  region  of  the  spine.  Once  a  day  will  do, 
but  three  times  per  day  will  be  better.  When  the 
pain  is  very  severe  use  cold  at  the  center  of  the 
enervation  of  such  a  joint.  Once  per  day  massage 
the  neck,  as  indicated  in  figures  4,  5.  Massage  the 
tissues  of  the  back,  as  seen  in  figures  9,  10,  11,  12, 
13,  14.  The  abdomen  may  be  worked  over  as  seen 
in  figures  17,  18.  Massage  the  affected  joints  each 
day.  While  we  do  not  expect  to  reduce  deformities 
produced  by  this  disease,  they  may  be  stopped  in 
their  progress,  and  wasted  cartilages  and  muscles 
built  up. 

In  rheumatism  we  restrict  the  diet,  but  in  this 
disease  it  is  best  to  allow  a  generous  diet,  intended 
to  put  flesh  on  any  person. 


144  The   Practice   of   Somapathy 

RHEUMATIC  FEVER 
See  Articular  Rheumatism. 

RHEUMATISM,  CHRONIC 

Once  each  day  apply  cold  and  heat  to  the  entire 
spine,  alternately,  fifteen  minutes  each,  for  an  hour. 
If  there  is  severe  pain  use  cold  alone  at  the  center 
of  enervation  of  the  part  in  which  there  is  pain. 
Massage  the  limbs.  The  back  should  be  massaged, 
as  seen  in  figures  9,  10,  11,  12,  13,  14.  Use  massage 
at  the  back  of  the  neck,  as  seen  in  figures  4,  5. 
Deep  massage  should  be  given  over  the  abdomen. 
See  figures  17,  18.  The  diet  will  have  to  be  more 
generous  than  is  given  in  articular  rheumatism,  but 
we  should  not  allow  dark  meats  or  alcoholic  bever- 
ages, and  the  diet  is  to  be  restricted  some.  See  Ar- 
ticular Rheumatism. 

SALPINGITIS 

Massage  all  of  the  muscles  of  the  back,  from  the 
middle  of  the  dorsal  region  to  the  end  of  the  spine. 
Do  this  work  carefully,  relaxing  all  the  tissues. 
See  figures  10,  11,  12,  13,  14.  Relax  the  tissues  of 
the  lower  abdomen  and  lift  up  the  abdominal  con- 
tents. Work  carefully  and  gently,  as  seen  in  figures 


Directions  for  Treatment  145 

17,  18,  20.  An  ice  bag"  is  to  be  placed  on  the  spine 
in  the  lower  dorsal,  lumbar  and  sacral  regions.  A 
warm  application  may  be  placed  on  the  lower  part 
of  the  abdomen.  If  this  disease  is  caused  by  gonor- 
rhea we  never  expect  a  cure,  but  the  case  may  be 
relieved  some. 

SCIATICA 

Massage  the  tissues  in  the  lower  dorsal,  lumbar 
and  sacral  regions  of  the  spine,  as  indicated  in  fig- 
ures 10,  11,  12,  13,  14.  Relax  by  massaging  all  the 
tissues  over  the  course  of  the  sciatic  nerve  in  the 
hip  and  limb.  Use  heat  along  the  course  of  the 
nerve  and  place  an  ice  bag  over  the  lumbar  and 
sacral  regions  of  the  spine.  The  massaging  over 
the  course  of  the  nerve  should  be  done  carefully  but 
thoroughly.  See  "  Practice  of  Osteopathy,"  Mur- 
ray. 
• 

SLEEPLESSNESS 

See  Insomnia. 

SOLAR  PLEXUS 

This  is  sometimes  referred  to  as  the  abdominal 
brain.  When  it  is  advisable  to  use  cold  on  the 
spine  you  may  use  heat  on  the  solar  plexus,  and 
when  you  use  heat  on  the  spine,  cold  may  be  used 


146  The   Practice   of  Somapathy 

on  the  solar  plexus.  When  you  wish  to  stimulate 
the  solar  plexus  always  use  heat.  For  inhibition 
use  cold. 

SORE  THROAT 

Use  a  cold  compress  on  the  throat  and  give  a 
warm  mustard  foot  bath.  See  Cold  Compress.  It 
will  help  to  massage  all  of  the  tissues  of  the  neck, 
as  indicated  in  figures  4,  5,  6,  7,  8.  Massage  the 
tissues  of  the  upper  part  of  the  back.  See  figures 
9,  10,  11,  12,  13,  14.  Use  deep  massage  of  the 
bowels.  See  figures  17,  18,  20.  Give  a  warm  salt 
water  enema  in  which  a  tablespoonful  of  salt  has 
been  dissolved  in  a  quart  of  water.  The  bowels  are 
to  be  kept  open. 

SPASMS  OF  LARYNX 

Use  cold  in  the  cervical  region.  Give  a  w£rm 
tub  bath.  Relax  all  of  the  tissues  of  the  neck,  as 
indicated  in  figures  4,  5,  6,  7,  8.  The  muscles  of  the 
upper  part  of  the  back  should  be  relaxed  by  mas- 
sage. See  figures  9,  10,  11,  12,  13,  14.  Whenever 
a  child  has  a  spasm  a  bath  in  warm  water  will  be 
helpful.  Have  the  water  as  hot  as  he  can  endure. 


Directions  for  Treatment  147 

SPASTIC  PARAPLEGIA 

Alternate  in  the  use  of  cold  and  heat  on  the  entire 
spine,  using  each  for  fifteen  minutes.  Treat  in  this 
manner  seventy-five  minutes  at  a  treatment,  using 
the  cold  last.  Treat  in  this  manner  twice  per  day, 
but  if  the  time  is  lacking  you  can  make  one  treat- 
ment answer.  Give  the  following  massage  treat- 
ment every  day:  Thoroughly  massage  all  the  mus- 
cles of  the  back,  as  indicated  in  figures  9,  10,  11, 
12,  13,  14.  Loosen  up  the  muscles  at  the  back  of 
the  neck,  as  seen  in  figures  4,  5.  Work  over  the 
abdomen.  See  figures  17,  18.  The  legs  should  be 
well  massaged.  The  bowels  should  be  kept  open. 
Give  a  salt  bath  about  twice  per  week.  Regular 
exercise  should  be  taken,  but  the  patient  should  not 

*. 

become  too  tired.     It  will  be  well  to  employ  the 
mind. 

SPRAINS 

• 

Massage  directly  over  the  sprain  twice  per  day. 
This  keeps  up  a  good  circulation.  For  the  first 
twenty-four  hours  bathe  the  part  at  intervals  in 
cold  water.  Keep  the  part  suffering  the  sprain  ele- 
vated, if  possible.  The  use  of  the  cold  water  helps 
to  prevent  swelling  and  consequent  discoloration. 
After  the  first  twenty-four  hours  you  may  use 


148  The  Practice   of  Somapathy 

hot  water,  but  never  before.    Many  make  a  mistake 
in  this  particular. 

STOMACH 
See  Dyspepsia. 

ST.  VITUS'  DANCE 
Chorea 

Cold  should  be  used  on  the  entire  spine  for  thirty 
minutes,  twice  daily.  Massage  as  follows  once  per 
day:  The  tissues  of  the  whole  back,  as  indicated  in 
figures  9,  10,  11,  12,  13,  14.  The  neck  region,  as 
seen  in  figures  4,  5,  6,  7,  8.  Massage  the  bowels,  as 
in  figures  17,  18.  The  limbs  should  be  massaged. 
When  the  patient  becomes  better,  treat  only  two 
or  three  times  per  week. 

Do  not  allow  the  patient  to  lose  the  temper  or  to 
become  excited.  Be  sure  that  there  are  no  intes- 
tinal worms,  eye  strain,  sexual  disorders,  or  cause 
for  worry.  Avoid  mental  strains  or  very  much  mus- 
cular exertion.  Attention  should  be  given  to  the 
heart  and  bowels.  An  enema  of  soapsuds  may  be 
given  when  necessary.  See  Constipation. 

Do  not  eat  starches  and  sweets,  but  eat  as  much 
nourishing  food  as  the  patient  can  digest.  Meat, 
eggs  and  fish,  with  plenty  of  green  vegetables,  are 
recommended.  Take  a  warm  bath  on  retiring  and 


Directions  for  Treatment  149 

a  cool  sponge  bath  on  rising,  followed  by  a  brisk 
rub. 

SUN  STROKE 

Promptly  place  the  patient  in  an  ice  bath,  in 
which  there  is  plenty  of  ice.  Reduce  the  tempera- 
ture to  101  degrees  F.  After  taking  the  patient 
from  the  bath  and  rubbing  dry,  loosen  all  spinal 
muscles  by  massage.  See  figures  9,  10,  11,  12,  13, 
14.  Relax  the  cervical  tissues,  as  in  figures  4,  5. 
Deeply  massage  the  abdomen,  as  indicated  in  figures 
17,  18,  20.  If  the  temperature  is  rising  again  repeat 
the  ice  bath,  but  do  not  lower  the  temperature  be- 
low 101  degrees  F.  An  ice  water  enema  will  assist 
in  lowering  the  temperature.  Use  an  ice  cap  and 
give  a  liquid  diet  for  several  days.  See  Heat  Ex- 
haustion and  note  the  difference  in  the  treatment. 

TACHYCARDIA 

Use  cold  in  the  upper  dorsal  region  for  an  hour 
at  a  time.  It  may  be  used  as  often  as  three  times 
per  day,  but  if  the  case  is  not  very  severe  once  per 
day  will  be  sufficient.  The  tissues  of  the  upper  dor- 
sal and  cervical  regions  should  be  massaged  three 
times  per  week.  See  figures  4,  5,  9,  10,  11,  12,  13, 
14.  Cold  used  directly  over  the  heart  will  prove 
helpful. 


150  The   Practice   of   Somapathy 

The  diet  should  be  regulated.  All  articles  that 
have  a  tendency  to  produce  gas  should  not  be  used. 
Do  not  use  alcohol,  tea  or  coffee.  Avoid  overexer- 
into  and  do  not  become  excited. 

TONSILLITIS 

All  of  the  tissues  of  the  neck  should  be  well  re- 
laxed by  massaging  them.  See  figures  4,  5,  6,  7, 
8,  9.  The  upper  dorsal  tissues  should  be  massaged, 
as  seen  in  figures  9,  10,  11,  12,  13,  14.  A  cold  com- 
press should  be  placed  on  the  neck.  See  Cold  Com- 
press. Drop  a  little  salt  water  into  the  nostrils  from 
a  teaspoon  every  two  or  three  hours.  The  bowels 
must  be  kept  open,  and  for  this  an  occasional  salt 
water  enema  may  be  used.  A  tablespoonful  of  salt 
should  be  used  in  a  quart  of  water.  The  diet  must 
be  light.  See  Quinsy. 

TORTICOLLIS 
Stiff  neck 

Thoroughly  loosen  the  muscles  of  the  neck  by 
massage,  as  indicated  in  figures  4,  5,  6,  7,  8.  The  tis- 
sues of  the  back  are  to  be  massaged  in  the  upper 
dorsal  region.  See  figures  9,  10,  11,  12,  13,  14.  Use 
cold  in  the  cervical  and  upper  dorsal  regions  for  an 
hour  each  day,  after  which  apply  a  cold  compress. 


Directions  for  Treatment  151 

See  Cold  Compress.    The  massage  should  be  given 
daily  for  a  time,  and  then  three  times  per  week. 

TUBERCULAR  JOINTS 

Do  not  massage  directly  over  the  joint,  but  loosen 
the  tissues  above  and  below  the  joint  by  massage. 
Use  cold  compresses  over  the  joint,  and  allow  them 
to  remain  until  they  become  warm.  Then  wash 
with  cold  water  and  apply  the  cold  compress  again. 
From  three  to  a  dozen  may  be  used  in  a  day.  See 
Cold  Compress.  The  diet  should  be  generous.  See 
Tuberculosis. 

TUBERCULOSIS 

See   Consumption. 

TYPHOID  FEVER 

Use  heat  at  the  base  of  the  brain  and  in  the  back 
of  the  neck.  Every  day  massage  the  muscles  of  the 
back  to  keep  them  pliable,  as  indicated  in  figures  10, 
11,  12,  13,  14.  Loosen  up  the  tissues  of  the  neck, 
as  seen  in  figures  4,  5.  Do  not  massage  over  the 
abdomen.  A  portion  of  this  treatment  may  be  given 
two  or  three  times  daily.  It  will  help  the  patient 
and  he  will  feel  rested  after  the  work.  By  following 
the  above  plan  of  treatment  many  of  the  bad  effects 


152  The   Practice   of  Somapathy 

that  follow  this  disease  will  be  overcome.  In  some 
of  the  best  hospitals  of  the  country,  where  they 
have  the  greatest  success  in  treating  this  disease, 
they  use  a  great  deal  of  water,  both  externally  and 
internally.  It  not  only  has  a  good  effect  in  reduc- 
ing the  temperature,  but  is  very  beneficial  in  its 
action  on  the  nervous  system,  heart  and  kidneys.  It 
also  reduces  the  liability  to  bedsores. 

In  using  the  cold  pack  the  patient  is  placed  in  a 
sheet  wrung  out  of  water  at  a  temperature  of  65 
degrees  F.  This  cold  water  is  afterwards  sprinkled 
on  the  sheet.  This  is  continued  for  twenty  minutes 
at  a  time.  In  using  a  cold  sponge  bath  a  piece  of 
toweling  or  gauze  is  better  than  a  sponge.  One  por- 
tion of  the  body  is  bathed  and  dried  at  a  time,  be- 
ginning with  the  head.  Have  the  water  as  near 
ice-cold  as  the  patient  can  stand  it.  The  bath  should 
be  thoroughly  given,  and  about  twenty  minutes 
should  be  consumed  in  giving  it. 

When  the  temperature  is  102  or  more  the  patient 
may  be  placed  in  the  full  bath  with  the  temperature 
at  80  degrees.  Gradually  reduce  this  to  70  degrees. 
Unless  the  patient  becomes  too  cold  he  may  remain 
in  the  water  fifteen  minutes.  Every  part  of  the  body 
should  be  covered  but  the  head.  A  little  stimu- 
lant and  food  should  be  given  after  the  bath.  „  While 
the  patient  is  in  the  water  the  limbs  a.  nk 


Directions  for  Treatment  153 

should  be  thoroughly  rubbed.  When  the  patient  is 
removed  from  the  bath  wrap  him  in  a  sheet  and 
cover  with  a  blanket.  Should  constipation  be  pres- 
ent give  an  enema  every  third  day. 

The  patient  should  occupy  a  well-aired  and  sunny 
room.  The  diet  should  be  liquid,  the  principal  part 
of  which  should  be  milk.  This  should  be  given 
every  four  hours  and  may  be  about  four  ounces. 
This  milk  may  sometimes  be  flavored  with  a  little 
tea,  coffee  or  brandy.  Buttermilk  is  a  splendid  sub- 
stitute for  milk  when  the  milk  can  not  be  taken  or 
is  not  properly  digested.  Allow  the  patient  as  much 
ice  water  as  he  wants.  As  much  strong  lemonade 
may  be  given  as  wanted,  but  use  very  little  sugar 
in  it.  A  cup  of  bouillon  or  of  strained  vegetable 
soup  may  be  given  as  a  change  in  diet.  Ice  cream 
may  be  given. 

When  the  fever  leaves,  no  solid  food  must  be 
taken  for  ten  days.  Change  the  diet  gradually,  still 
using  some  milk.  Carefully  and  gradually  intro- 
duce the  following  diet:  Mutton  or  chicken  broth, 
junket,  a  very  small  piece  of  cream  or  milk  toast, 
baked  custard,  strained  vegetable  soup,  wine  jelly, 
the  soft  part  of  three  or  four  oysters,  meat  soup, 
thickened  with  egg,  blanc  mange,  calves'  foot  and 
chicken  ielly.  Two  or  three  of  the  above  articles 
may  '  ..owed  daily  with  the  milk. 


154  The   Practice   of   Somapathy 

UREMIA 

Use  heat  from  the  middle  of  the  dorsal  region  to 
the  end  of  the  spine.  This  should  be  used  at  least 
twice  per  day,  while  the  case  is  severe,  for  an  hour 
at  a  time.  Massage  the  back,  as  indicated  in  figures 
9,  10,  11,  12,  13,  14.  Use  deep  massage  over  the 
abdomen,  as  seen  in  figures  17,  18,  20.  Give  warm 
salt  water  enemas,  in  which  a  tablespoonful  of  salt 
has  been  dissolved  to  each  quart  of  water.  Hot 
packs  will  help  to  induce  sweating.  See  Hot  Packs. 

VAGINISMUS 

Use  cold  in  the  lumbar  and  dorsal  regions  of  the 
spine.  Massage  these  regions  of  the  back,  as  seen 
in  figures  10,  11,  12,  13,  14.  Keep  the  parts  clean 
with  a  mild  boric  acid  solution.  If  the  case  is  a  se- 
vere one  keep  perfectly  quiet.  In  simple  cases  it  will 
help  to  use  a  warm  salt  water  douche,  in  which  a 
tablespoonful  of  salt  is  used  to  each  quart  of  water. 

VAGINITIS 

Treat  as  in  cases  of  Vaginismus,  which  see. 

VEINS,  INFLAMMATION  OF 

See  Phlebitis. 


Directions  for  Treatment  155 

VOICE,  LOSS  OF 

See  Aphonia. 

VOMITING 

When  you  wish  to  stop  this  trouble  use  an  ice 
bag  on  the  dorsal  region  of  the  spine,  from  the 
fourth  to  the  eighth  vertebra.  If  the  tongue  is 
heavily  coated  and  the  stomach  foul  give  a  pint  of 
warm  water  to  cause  vomiting  and  clean  out  the 
stomach.  Then  in  most  cases  the  vomiting  will 
cease. 

VULVITIS 

For  inflammation  of  the  vulva,  massage  the  tis- 
sues of  the  back  in  the  lumbar  and  dorsal  regions 
as  indicated  in  figures  10,  11,  12,  13,  14.  Use  cold  in 
the  same  regions  of  the  back.  The  parts  should  be 
kept  clean  with  a  solution  of  boracic  acid. 

WOMEN,  DISEASES  OF 

See  Diseases  of  Women. 


THE   SUCCESSFUL   PROMO- 
TION  OF  OSTEOPATHY 

CJ  The  ideas  contained  in  this  book  have  helped 
a  great  many  osteopaths  to  quickly  obtain  a 
practice.  By  putting  these  ideas  into  force  splen- 
did practices  have  been  built  up.  A  number  of 
osteopaths  who  paid  $2.00  for  it  wrote  that  they 
were  greatly  helped. 

The  book  gives  the  methods  by  which  a  practice 
grew  from  nothing  to  the  treatment  of  83  patients 
per  month  in  one  year.  How  in  3  months  50  pa- 
tients were  being  treated  in  a  town  of  2,500. 

What  is  the  use  of  waiting  "  for  something  to 
turn  up "  when  you  are  capable  of  earning  from 
$5,000  to  $8,000  per  year?  Your  services  are  needed. 

The  ideas  in  this  book  can  be  applied  to  any 
practice.  Medical  Doctors,  Naturopaths,  Chiroprac- 
tors, Mechano-Therapists,  Drugless  Healers,  etc. 

The  price  on  this  remarkable  book  has  been  re- 
duced to 


«P  J.  •  U  U    prepaid 

Address  MURRAY  PUBLISHERS 

465  Douglas  Ave  ,  Elgin,  111 

THE  LAXUS-CYCLE 

For  the  use  of  th«  HOME,   Osteopaths  and  Medical  Doctors 

Corrects  Lesions  and  secures  a  good  circulation.     Keeps  the 

spine  pliable.     Keeps  you  young  and  makes  you  younger. 

For  Prices  Address 

The  MURRAY  PUBLISHERS 

465  Douglas  Ave.,  Elgin,  111. 


Date  Due 


CAT.    NO.   23   233 


PRINTED    IN    U.S.A. 


UC  SOUTHERN  REGIONAL  LIBRARY  FACIUTY 


A  000  411  730  5 


WB960 
M98lp 

1913 


Murray,  Charles  H 

Practice  of  somapathy 


MEDICAL  SCIENCES  LIBRARY 

UNIVERSITY  OF  CALIFORNIA,  IRVINE 

IRVINE,  CALIFORNIA  92664 


